新型健康服务业的主要特点及监管策略

Analysis on main features and regulatory strategies of the new health service industry

与传统健康服务业相比,新型健康服务业的服务更加综合、更具有整合性,各要素处于动态变化过程,更具规模化、集约化、集聚化。与传统医疗卫生行业监管相比而言,其监管内容发生较大变化,新市场关系下的供方与需方对监管提出了更高的要求,新兴业态网络化、碎片化、灵活性,服务边界突破了传统监管模式。同时面临监管职责界定、监管复杂性、对现行税制管理、对现行监管机制带来的挑战以及新型健康服务业快速发展与健康质量准入监管平衡的挑战。因此,本文提出了构建以信息监管为核心的新型健康服务业监管机制,实现由直接管控向底线式监管转变,建立多部门有机协调、社会各主体共同参与的协同监管机制等建议。

Compared with the traditional health service industry, the new health service industry tends to be more comprehensive and integrated, and the various factors are in a dynamic change process, which is characterized by larger scale, intensive, agglomerative and special business methods. Compared with the traditional medical and health industry supervision, its regulatory content has greatly changed in the new system. Under the new market relationship, the supply and demand sides have put forward higher requirements for supervision, and the emerging business forms are networked, fragmented and flexible.The service boundary has broken through the traditional supervision mode, and it simultaneously faces the challenge of defining the supervision responsibilities,complexity, the current tax system management, the current supervision mechanism hindrances, and the balance between the new health service industry and health quality access regulation which are undergoing an exponential trend of development. Therefore, this paper puts forward some suggestions such as the establishment of a new health service industry supervision mechanism with information supervision as the core, the realization of the transition from direct control to bottom-line supervision, the establishment of multi-sectoral organic coordination, and a coordinated supervision mechanism which involves the participation of all social subjects.