我国卫生改革政策的价值选择-社会公平.pdfVIP

主国里生蔓些笪理兰Q!!生笠!塑(望箜望!塑2 我国卫生改革政策的价值选择：社会公平 方铁红，陈家应△ (南京医科大学医政学院，江苏南京210029) [摘要] 文章以卫生公平性理论为基础，分析了我国卫生发展中存在的影响卫生公平的政策、制度和体制机制等 问题，认为我国在卫生资源配置、卫生筹资和健康保障制度的建立等方面存在严重的不公平性，从而导致了人群健康的 不公平性。为此，提出了在新的医药卫生体制改革中，应该建立基于绩效评价的政府投入机制，合理解决医务人员的待 遇，完善村卫生室的管理体制与运行机制，加快卫生立法，以此保证《深化医药卫生体制改革的意见》的落实，实现“人人 享有基本医疗卫生服务”目标。 【关键词]社会公平；医药卫生体制改革；价值选择 [中图分类号]R197 [文献标识码]A [文章编号] 1004-4663(2011)01—06—03 social asthe Chinesehealth a1．／／The standardfor reform Tie·hong，et Takingequity evaluating policy．／Fang ChineseHealthService Management． AbstractBasedonhealth of andmechanism health inChinese equitytheory，problemspolicy-system influencingequity healthservices were canbeconcluded existedinhealthresources that。serious allocation。health developmentanalyzed．It inequity andhealthinsurance hadledtohealth different some financing system-which inequityamong populations．ThereforeI policysug— rationalstandardfor were a gestionsputforward，includingestablishingperformance·basedgovernmentinputsystem，formulating health 7s clinics’administrativeand thehealth employeeincome-improvingviUage operativemechanism。andspeeding legislation inthenewhealthandmedical the of theHealthCare Reformcanbecarried the reform，thus out，and OpinionsDeepening System to“basichealthcareservicesforall”canbeachieved． objective Author7saddr