摘要
英国通过1946年《国家卫生服务法案》(National Health Service Act 1946)将向全体公民提供近乎免费、平等的基本医疗服务变成一项国家义务,使得医疗服务从一项"私人产品"演变为法律上的"拟制公共产品"。2012年《卫生和社会护理法案》为迄今为止最广泛的国家卫生服务体系重组提供了法律依据。经济可持续性的考量推动了2012年《卫生和社会护理法案》的改革进程。我国相关立法应借鉴2012年《卫生和社会护理法案》界定相关主体职能(职权和职责),强化政府出资、监管职责,而非原则性规定政府直接提供服务。简政放权,培育市场,加强监管应是政府履行主导责任的最佳方式。鉴于目前的老龄化压力,我国应借鉴英国经验,尽快建立社会护理制度。
National Health Service Act 1946 provided for the establishment of a comprehensive health service for England and madethe Secretary of State＇s duty as to promote free and equal comprehensive health service clear. This act changed health services from ＂private products＂to ＂legal fiction public products＂. The Health and Social Care Act 2012 provides for the most extensive reorganisation of the structure of the NHS in England to date. Economic sustainability has largely driven the reform process leading to the 2012 Act. In our basic health law,we should clarify the organizations＇ functions（ power and duty）,strengthen the government＇s duty as to investment and regulation,rather than only prescribe the legal requirement of provide services.The best ways for the government to fulfill its leading responsibilities are streamlining government and delegating authorities,strengthening supervision,improving the market system. Based on the pressure of a rapidly ageing population,we should learn from the British experience and establish a social care system as soon as possible.
作者
陈云良
陈佳苗
Chen Yunliang;Chen Jiamiao
出处
《法学杂志》
CSSCI
北大核心
2018年第6期56-67,共12页
Law Science Magazine
基金
教育部重大攻关项目"基本医疗服务保障法制化研究"(项目编号:14JZD025)
国家社科基金重点项目"卫生法修改若干重大理论和实践问题研究"(项目编号:12AZD123)
中南大学自主探索创新项目"基本医疗保险一体化立法研究"(项目编号:2016ZZTS175)资助
