Department of Health Policy and Management, Erasmus University Rotterdam, the Netherlands.
Health Policy Plan. 2011 May;26(3):199-209. doi: 10.1093/heapol/czq044. Epub 2010 Sep 3.
As China explores new directions to reform its health care system, regulated competition among both insurers and providers of care might be one potential model. The Russian Federation in 1993 implemented legislation intended to stimulate such regulated competition in the health care sector. The subsequent progress and lessons learned over these 17 years can shed light on and inform the future evolution of the Chinese system. In this paper, we list the necessary pre-conditions for reaping the benefits of regulated competition in the health care sector. We indicate to what extent these conditions are being fulfilled in the post-reform Russian and current Chinese health care systems. We draw lessons from the Russian experience for the Chinese health care system, which shares a similar economic and political background with the pre-reform Russian health care system in terms of the starting point of the reform, and analyse the prospects for regulated competition in China.
随着中国探索医改新方向，在医疗服务的提供方和保险方之间开展有序竞争可能成为一种潜在模式。1993 年，俄罗斯联邦颁布了旨在医疗领域引入有序竞争的相关法律。在随后的 17 年中，俄罗斯的改革进展和经验教训可以为中国医改的未来发展提供借鉴。在本文中，我们列出了在医疗领域实现有序竞争的必要前提条件，并指出这些条件在俄罗斯和中国现行医改中得到了何种程度的满足。我们还借鉴俄罗斯的经验，为中国医改提供启示，因为两国在改革起点上具有相似的经济和政治背景，我们对中国实现有序竞争的前景进行了分析。
