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中国的卫生治理与医疗改革。

Health governance and healthcare reforms in China.

作者信息

Ramesh M, Wu Xun, He Alex Jingwei

机构信息

Hong Kong Institute of Education, 10 Lo Ping Road, Tai Po, New Territories, Hong Kong, China and Lee Kuan Yew School of Public Policy, National University of Singapore, 497 Bukit Timah Road, Singapore

Hong Kong Institute of Education, 10 Lo Ping Road, Tai Po, New Territories, Hong Kong, China and Lee Kuan Yew School of Public Policy, National University of Singapore, 497 Bukit Timah Road, Singapore.

出版信息

Health Policy Plan. 2014 Sep;29(6):663-72. doi: 10.1093/heapol/czs109. Epub 2013 Jan 4.

DOI:10.1093/heapol/czs109
PMID:23293100
Abstract

This article examines the role of health governance in shaping the outcomes of healthcare reforms in China. The analysis shows that the failure of reforms during the 1980s and 1990s was in part due to inadequate attention to key aspects in health governance, such as strategic interactions among government, providers and users, as well as incentive structures shaping their preferences and behaviour. Although more recent reforms seek to correct these flaws, they are insufficiently targeted at the fundamental governance problems that beset the sector. The article suggests that the Chinese government needs to heighten its efforts to enhance health governance and change the ways providers are paid if it is to succeed in achieving its goal of providing health care to all at affordable cost.

摘要

本文探讨了卫生治理在中国医疗改革成果形成过程中的作用。分析表明,20世纪80年代和90年代改革的失败部分归因于对卫生治理关键方面的关注不足,比如政府、医疗服务提供者和使用者之间的战略互动,以及塑造他们偏好和行为的激励机制。尽管最近的改革试图纠正这些缺陷,但它们对困扰该领域的基本治理问题的针对性不足。文章指出,如果中国政府要成功实现以可承受的成本为所有人提供医疗服务的目标,就需要加大力度加强卫生治理,并改变医疗服务提供者的薪酬支付方式。

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