王向澄. 选择与竞争:英国国民医疗服务体系的准市场机制改革[J]. 电子科技大学学报社科版, 2015, 17(5): 19-24. DOI: 10.14071/j.1008-8105(2015)05-0019-06
引用本文: 王向澄. 选择与竞争:英国国民医疗服务体系的准市场机制改革[J]. 电子科技大学学报社科版, 2015, 17(5): 19-24. DOI: 10.14071/j.1008-8105(2015)05-0019-06
WANG Xiang-cheng. Choice and Competition: Analysis on Quasi-market Mechanism Reform of British NHS System[J]. Journal of University of Electronic Science and Technology of China(SOCIAL SCIENCES EDITION), 2015, 17(5): 19-24. DOI: 10.14071/j.1008-8105(2015)05-0019-06
Citation: WANG Xiang-cheng. Choice and Competition: Analysis on Quasi-market Mechanism Reform of British NHS System[J]. Journal of University of Electronic Science and Technology of China(SOCIAL SCIENCES EDITION), 2015, 17(5): 19-24. DOI: 10.14071/j.1008-8105(2015)05-0019-06

选择与竞争:英国国民医疗服务体系的准市场机制改革

Choice and Competition: Analysis on Quasi-market Mechanism Reform of British NHS System

  • 摘要: 服务管理的质量、效率、回应性与公平性是公立医疗卫生体系注重的指标。国际经验显示,公立医疗卫生服务的提供包括信任模式、指挥与控制模式、表达模式、选择与竞争模式,每种模式各有利弊。理论与实证分析认为,选择与竞争模式多数情况下优于其他模式。本世纪以来,英国国民医疗服务体系进行的是基于选择与竞争的准市场机制改革。目前已在医疗服务的质量、效率、回应性及公平性等方面取得显著的提升。但同时,相关的管理与政策有必要加以完善,以应对潜在的问题与挑战。对英国国民医疗服务体系改革的模式选择与实践经验的学习与分析,将对我国的医疗改革在一定程度上有借鉴意义,有利于进一步明晰改革的方向并实现改革的稳步推进。

     

    Abstract: The quality, efficiency, responsiveness, and equity of service management are the indicators for the public health care system. International experiences show that the provision of public medical and health services in general has four modes: namely, trust-based mode, command and control mode, opinion expression mode, and choice and competition mode. Each mode has its own advantage, as well as disadvantage. Existing theories and empirical studies suggest that the choice and competition mode in most cases is superior to other modes. Since the 21st century, the British National Health Service (NHS) system carried through a quasi-market mechanism reform based on the principle of choice and competition. As a result, its medical service in terms of quality, efficiency, responsiveness, and equity made significant improvement. Meanwhile, the related management institutions and policy have the necessity to get well-arranged and redesign in order to cope with potential problems and challenges.

     

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