我国民营医疗服务的作用与范围研究概论

Synopsis of research on the role and scope of nongovernmental medkal services in China

目的 了解我国民营医疗服务发展的状况以及社会各个方面对民营医疗服务的评价和意见,为制定有关民营医疗服务管理和发展的政策提供依据。方法 本研究在广东省、山西省和四川省进行了横断面现况研究,采用问卷调查和访谈的方法,收集居民、医生、医疗机构管理者、民营医疗机构投资者和卫生行政部门管理人员对民营医疗服务的意见和态度,分析和比较了不同利益相关者态度和评价的差异。结果 居民对民营医疗服务的利用超过30％,对民营医疗服务的评价超过公立机构,民营医疗机构有优势也有缺点,但不公平的社会待遇是民营医疗服务发展的主要障碍。结论 民营医疗服务已经在我国的医疗服务体系中占据了重要的位置,应该协调政策,促进其发挥更大作用。

Objective To find out about the development of nongovernmental medical services in China as well as the appraisals of such services by various quarters so as to provide basis for the formulation of policies for their management and development. Methods Cross-sectional studies were made in the provinces of Guangdong, Shanxi and Sichuan. By means of questionnaires and interviews, appraisals of nongovernmental medical services by residents, physicians, managers of medical institutions, investors of nongovernmental medical institutions and managers from the administrative departments of health were collected and differences in the appraisals made by people representing various interest groups were analyzed. Results Over 30% of the residents make use of nongovernmental medical services and appraisals of them surpass those of public medical services. Nongovernmental medical institutions have both advantages and disadvantages, with unfair social treatment being the major obstacle to their development. Conclusion Since nongovernmental medical services have already taken an important position in the setup of medical services of China, efforts should be made to coordinate relevant policies so as to bring their role into greater play.