中国医疗卫生服务改革中的监管体系建设基本概念与制度框架.pptx

竞争与监管政策国际研讨会：政策与实践中新课题InternationalConferenceonCompetition&RegulationPolicy:EmergingThemesinPolicyandPractice中国医疗卫生服务改革中监管体系建设：基本概念与制度框架RegulatorySystemBuildinginRestructuringChina’sMedicalandHealthCareSystem:ConceptualIssuesandAInstitutionalFramework申明：全部观点均属课题组组员看法，与所供职单位无关。Disclaimer:Viewsexpressedherearealloftheauthorsanddonotnecessarilyrepresentthoseoftheinstitutionstowhichtheauthorsareaffiliated.基本思绪和讨论范围OutlineofDiscussion医疗服务基本结构StructureofHealthCareSystem医疗服务技术经济特征Techno-EconomicCharacteristicsofHealthCareServices政府干预合理性：政府干预矫正市场失灵RationaleforGovernmentIntervention:CorrectingMarketFailure政府干预三种主要方式ThreeWaysthatGovernmentsCanIntervene但依据医疗服务提供方单位治理结构、服务购置方组织方式能够分为各种医疗服务组织方式。Therearediversifiedhealthcaresystemsintheworldthataredefinedbythedifferencesinthegovernancestructureofthehealthcareinstitutionsandstructureoffunding/purchasingorganizations.不一样国家因为历史和文化上差异，医疗服务供给采取了不一样组织方式。对处于相同发展阶段国家（OECD），不一样模式都取得了大致相同效果。但对于哪种方式供给效率更高比较，需要愈加系统详细比较（可能单纯从总支出指标、住院率等难以判断）。Differentsystemshavedifferentperformances,althoughtheymayhaveproducedsimilarresultsintermsofthesafeguardingthehealthofthecitizens.不论采取何种模式，政府都同时负担了直接提供服务、出资购置服务和监管服务供给三种责任。Inalltypesofsystems,governmentsareinvolvedinsupplying,fundingandpurchasingandregulation.政府监管表达在服务供给各个步骤。Governmentregulationcanbefoundinalltheactivitiesinhealthcareservice.包含医疗服务在内公共服务提供者组织形式：OECD与中国比较DiversifiedSystemsOECDvsChinaOECD国家医疗卫生领域总支出占GDP比重DifferentPerformancesofHealthCareSystemsinOECDCountries:TotalHealthCareExpenditureinGDPOECD国家医疗卫生领域支出中政府支出百分比%DifferentPerformancesofHealthCareSystemsinOECDCountries:GovernmentHealthExpenditureinTotalHealthCareExpenditure不论采取何种模式，政府都同时负担了直接提供服务、出资购置服务和监管服务供给三种责任。Inalltypesofsystems,governmentsareinvolvedinsupplying,fundingandpurchasingandregulation.政府监管表达在服务供给各个步骤。Governmentregulationcanbefoundinalltheactivitiesinhealthcareservice.包括监管领域与步骤分类RegulationofHealthCareServices公共服务监管基本范围－－公共服务监管定义RegulationofPublicServiceProvision公共服务监管基本范围和内涵医疗服务监管HealthRegulation市场竞争条件下医疗服务监管HealthRegulationinaC