英国全科医生薪酬激励政策及其借鉴意义

Financial Incentive Policies for General Practitioners in the UK and Its Inspiration to China

英国建立全科医生制度较早,全科医生薪酬激励政策较为完善,是英国医疗卫生体系高效经济运转的重要保障。我国全科医疗绩效考核制度的发展和实施仍处于初步阶段,需借鉴国外先进的经验。本文系统介绍了英国全科医生薪酬激励政策的关键内容,包括全科医生薪酬支付方式、结构模式、实施成效等,并提出我国应建立权威高效的全科医生监管和服务体系、建立区域综合性全科医疗信息网、多方位提高全科医生总体薪酬福利水平及增加全科医疗财政投入占比等建议,以期为我国全科医疗绩效考核机制的完善提供参考。

In the UK,the general practitioner system was established rather early,and financial incentive policies for general practitioners(GPs)are relatively well-developed,both of them are important guarantees for the efficient and economic operation of the NHS.In contrast,in China,the development and implementation of the performance appraisal system for GPs are still in the initial phrase,so advanced lessons from abroad should be learned.In order to provide a reference for domestic development of the performance appraisal system for GPs,we systematically introduced the major contents of the financial incentive policies for GPs in the UK,including payment method,structural model,implementation effectiveness,and so on,and proposed suggestions such as developing the authoritative and efficient management and service system for GPs,building the regional comprehensive general practice information network based on the local conditions,improving the wage and welfare levels of GPs as well as enhancing the government investment in general practice.