医疗融资工作小组主席夏佳理先生发言要点-GovHK.DOCVIP

PAGE 1 Special Meeting of LegCo Panel on Health Services on 13 March 2008 立法會衞生事務委員會2008年3月13日特別會議 Healthcare Reform Consultation 醫療改革公眾諮詢 Speaking Points for Mr Ronald Arculli, Chairman of the Working Group on Health Care Financing, Health and Medical Development Advisory Committee 健康與醫療發展諮詢委員會 醫療融資工作小組主席夏佳理先生發言要點 Healthcare Financing 醫療融資 Thank you Chairman. 多謝主席 Healthcare financing is not a new subject. It is an important and yet controversial subject that has been on the agenda of our community for nearly 20 years, ever since the Hospital Authority was established in 1990 – 1993 Rainbow Report 1997 Harvard Report 2000 Lifelong Investment in Health 2004 Health Protection Account Scheme Study Report 醫療融資並非新議題。在社會上已經討論了差不多20年，由醫管局於1990年成立以來，已經發表過多個有關的報告，包括– 1993年：彩虹報告 1997年：哈佛報告 2000年：《你我齊參與　健康伴我行》 2004年：頤康保障戶口計劃研究報告 Quite a number of non-government bodies and academics have also been raising the subject over the years,– February 2008 – SynergyNet (savings cum mandatory insurance) December 2007 – Democratic Party (social health insurance) September 2007 – Healthcare Policy Forum (public funding) June 2007 – Bauhinia Foundation (medical savings accounts) 2005 – One-Country-Two-Systems Research Institute (mandatory health insurance for working population) 多年來，亦有不少民間團體及學者提出有關的研究和建議，包括－ 新力量網絡 民主黨 醫療政策論壇 智經研究中心 一國兩制研究中心 Unfortunately, all the previous discussions have not resulted in any conclusion. But this time, I can see a number of factors that are bringing us to the tipping point, and make it impossible for us to defer tackling the problem any longer. 好可惜，過去多年來的討論，都沒有結論。到了今日，有多個因素令醫療融資的問題迫到埋身，唔可以再拖延，必須要正視和面對。 Under the leadership of the Secretary, the Health and Medical Development Advisory Committee was set up in 2005. Apart from the healthcare financing options, the Committee had spent quite a long time to examine the health care reform. The reform in itself is not simple. For example, the consultation paper proposes enhancement to the primary care sys