| 摘要: |
| 2003年以来我国基本医疗保障体系与医疗服务供给体系取得了长足发展，但当前居民的疾病经济负担并未减轻，居民健康改善有限。卫生服务体系是一个复杂的动态系统，各要素及子系统间存在结构性摩擦。我国医疗服务供给系统与医疗保障系统间存在负向摩擦，主要在于“医”“保”分离，管理与目标不一致；保障体系重视个体机构的支付，轻视对服务体系的引导设计。建议在未来的保障制度设计重视对服务供给改革的引导，侧重对体系、对健康的考虑。 |
| 关键词: |
| DOI： |
|
| 基金项目: |
|
| Structural Friction and Integration: Health care Delivery—Health Insurance |
|
| () |
| Abstract: |
| Since the year 2003, the basic medical insurance, and number of doctors and beds and hospitalization rate were increased steadily as a whole, while the economic burden of disease has not reduced and the degree of health improvement is limited. Health service system is a complex and dynamic system and there are structural frictions between each elements and subsystems. The negative frictions between our medical service supply system and medical insurance system is that medical service isolates from medical insurance and the management targets is inconsistent; insurance system attaches great importance to the payment of individual institutions, but despised the guide of service system design. Giving a suggestion that insurance payment reform in future should attach more importance to the system and health. |
| Key words: |
