摘要
卫生服务购买的实质是购买与提供分离,按绩效付款。近年来,国内政府购买社区公共卫生服务的实践发展迅速。从购买操作来看,主要有卫生服务券模式、内部合同模式和合同外包模式三种类型。重庆、潍坊、合肥、苏州、无锡五个典型地区实践表明,无论对于公众、政府还是社区卫生组织,三种购买模式都有明显的成效改进。由于卫生服务购买是一项复杂的安排,政府购买过程中还存在一些挑战。要改进卫生服务购买的成效,需要根据各地实际情况选择购买方式和服务提供者,合理定价与补偿,强化考核与监管,适当引进竞争机制。
The essence of purchasing health service is a separation of buying and supply, and a term of payment based on performance. In the recent years, this practice has developed very quickly in China, whose purchase modes include voucher system, internal contract and outsourcing contract. Based on the five typical cases in Chongqing, Weifang, Hefei, Suzhou and Wuxi, it is found that the three health service purchase modes have all improved dramatically in terms of the public, the government and the community health organizations. Because health service purchase is a complicated arrangement, there still exist some challenges and problems in the process. To improve the effectiveness of health service purchase, it is essential to choose the purchase modes and service providers according to the actual situations, determine the pricing and compensation systems reasonably, strengthen the assessment and supervision, and introduce the appropriate competition mechanisms.
出处
《东北大学学报（社会科学版）》
CSSCI
北大核心
2014年第2期170-175,共6页
Journal of Northeastern University(Social Science)
基金
国家社会科学基金青年资助项目(12CZZ045)
安徽大学青年骨干教师培养资助项目(023033010251)
安徽大学博士科研启动经费资助项目(023033190241)
关键词
政府购买
公共服务
社区卫生
government purchase
public service
community health
