我国医疗卫生公益性的基本内涵和理论维度

The Basic Concept and Theoretical Dimensions of the Public Interest in China's Medical and Health System

坚持公益性是我国医疗卫生事业的基本价值取向。医疗卫生公益性包括“应然”维度和“实然”维度。“应然”维度包括追求公共利益、坚持“非营利”和注重“效率”理念,“实然”维度包括医疗卫生经费的保障、医务人员薪酬的管理、药品供给的规范和医疗服务递送体系的建设。目前,医疗服务供需矛盾、医院逐利性和药品流通溢价成为我国医疗卫生公益性面临的现实挑战。对此,下一步,一是应坚持政府主导,二是建立公益导向的考核机制,三是提升医疗卫生资源配置效率。

It is the basic value orientation to adhere to public interest in China's medical and health system.This paper analyzes the basic concept of public interest and puts forward the"should be"dimension and"actual"dimension of public interest in China’s medical and health system.The"should be"dimension includes the pursuit of public interests,adhering to the idea of"non-profit,"and paying attention to"efficiency."The"actual"dimension includes the guarantee of government financial funds,the management of medical staff salary,the standardization of medicine supply,and the construction of medical service delivery system.At present,the contradiction between supply and demand of medical services,the profit seeking of hospitals,and the premium of medical circulation have become practical challenges for realizing the public interest in China’s medical and health system.In this regard,this paper puts forward three countermeasures such as insisting the guidance of the government,establishing a public interest-oriented assessment mechanism,and improving the efficiency of medical and health resource allocation.