中国医疗卫生服务改革中的监管体系建设.pptxVIP

竞争与监管政策国际研讨会：政策与实践中的新课题 International Conference on Competition Regulation Policy: Emerging Themes in Policy and Practice 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 Regulatory System Building in Restructuring China’s Medical and Health Care System: Conceptual Issues and A Institutional Framework ;申明：所有观点均属课题组成员的看法，与所供职的单位无关。 Disclaimer: Views expressed here are all of the authors and do not necessarily represent those of the institutions to which the authors are affiliated. ;基本思路和讨论范围 Outline of Discussion;医疗服务的基本结构 Structure of Health Care System;医疗服务的技术经济特征 Techno-Economic Characteristics of Health Care Services;政府干预的合理性：政府干预矫正市场失灵Rationale for Government Intervention: Correcting Market Failure;政府干预的三种主要方式 Three Ways that Governments Can Intervene; 但根据医疗服务提供方的单位治理结构、服务购买方的组织方式可以分为多种医疗服务的组织方式。There are diversified health care systems in the world that are defined by the differences in the governance structure of the health care institutions and structure of funding/purchasing organizations. 不同国家由于历史和文化上的差异，医疗服务的供给采取了不同的组织方式。对处于相同发展阶段的国家（OECD），不同的模式都获得了大致相同的效果。但对于哪种方式的供给效率更高的比较，需要更加系统详细的比较（也许单纯从总支出指标、住院率等难以判断）。Different systems have different performances, although they may have produced similar results in terms of the safeguarding the health of the citizens. 不论采取何种模式，政府都同时承担了直接提供服务、出资购买服务和监管服务供给三种责任。In all types of systems, governments are involved in supplying, funding and purchasing and regulation. 政府的监管体现在服务供给的各个环节。Government regulation can be found in all the activities in health care service. ;包括医疗服务在内的公共服务提供者的组织形式：OECD与中国的比较 Diversified Systems OECD vs China;OECD 国家医疗卫生领域总支出占GDP的比重Different Performances of Health Care Systems in OECD Countries: Total Health Care Expenditure in GDP ;OECD 国家医疗卫生领域支出中政府支出的比例 % Different Performances of Health Care Systems in OECD Countries: Government Health Expenditure in Total Health Care Expenditure ; 不论采取何种模式，政府都同时承担了直接提供服务、出资购买服务和监管服务供给三种责任。In all types of systems, governments are involved in supplying, funding and purch