卫生领域中政府管制作用的探讨

目的:探讨卫生领域中政府的管制作用。方法:通过文献复习进行理论探讨。结果:当前,我国卫生系统正面临着严重的信任危机。问题的根源是制度的缺陷,政府治理和监管的不足是关键。卫生系统改革中存在的诸多问题需要通过发挥政府的主导作用和充分利用市场的竞争机制来解决。医生的职业道德、伦理观、诚信及对患者的尊重和反应性在医患关系中处于主导的地位。对政府管制的认识应该是“管办分离,政事分开,分类管理”。政府部门将从“办卫生”转变为综合运用经济、法律和行政等手段来“管卫生”。卫生政策的制定要“以人为本”,要有及时性。结论:我国卫生改革成功的标志应该是:(1)要达到卫生服务的可及性和可承受性。解决和缓解“看病难、看病贵”问题;(2)要有公正的卫生筹资机制,建立全民的医疗保障制度是今后努力的方向;(3)具有良好的健康状况(4)要有一个创新的卫生体制和机制。

Discussion on the Regulation Effect of Government in Health Care

Objectives: Discussing the regulation effect of government in health care. Methods: Theoretical discussion is based on the literature review. Results: At present, Chinese health system is being faced a serious trust crisis. The roots of the issue are a deficit of system and the key point is the lack of governance and supervision by the government. The existing problems have to solve by means of leading role of government and sufficiently using market competition. The professional moral,ethnics,trust and the dignity and responsiveness are the important relationship between doctors and patients. Government regulation should be separating between rowing and steering, governance and administration,and management by classification. Government will transform its role by doing fewer rows and more steers through comprehensive economic, legislative and administrative means. The formulation of health policy must be people-oriented and timely. Conclusions: The targets of the success in Chinese health reform should be:(1)reaching to the accessible and affordable health services, solving or diminishing the problem on difficulties to search the doctor and suffer the high medical costs; (2)having a fairness of health financing, establishing an universal health insurance system is the future direction; (3) Having a good health status in Chinese population; (4) having an innovative health system and operational mechanism.