美国医疗服务供给模式对我国的启示.PDF

马志爽 李 勇 胡安琪 周俊婷 【摘要】近年来，我国不断加大医疗服务体系改革的力度，推动医疗服务供给模式改革对于医药卫生事业的发展至关重 要。本文梳理了美国医疗服务的供给主体及其供给模式的运作流程，并对其供给模式进行评价。此外，深入分析了美国 医疗服务供给模式对我国的启示，进而从强化市场与政府相结合、加强公私合作伙伴关系、提升基层医疗服务水平、探 索管理式医疗保险模式、推动医疗保险支付方式改革、完善配套的政策法规六个方面提出对我国医疗服务供给模式改革 有效的政策建议。 【关键词】美国；医疗服务供给；市场；政府 The Enlightenment of American Medical Service Supply Mode to China MA Zhi-Shuang LI Yong HU An-Qi ZHOU Jun-Ting 【Abstract 】In recent years, China has continuously increased the reform of the medical service system,to promote the reform of medical service supply model for the development of medical and health care is essential.This article combs the main body of the supply of medical services in the United States and the operational flow of its supply model and evaluates its supply model.besides,in-depth analysis of the US medical service supply model of Chinas revelation, and then put forward the policy suggestions on the reform of Chinas medical service supply model, including:strengthening the market and the government combined,strengthen the public-private partnership,improve the level of primary health care services,explore the management of medical insurance model,promote health insurance payment reform,improve the matching policies and regulations. 【Key words】The United States; Medical services supply; Market; Government 1 医疗服务供给模式的运作流程，深度评价了其供给 我国于 2009 年开始的新医改目前已经在医疗保 模式的优势和不足。在立足于我国基本国情和医疗 险和基层医疗卫生服务设施建设等领域有了很大的 服务现状的前提下，思考美国医疗服务供给模式对 进展。进入“十三五”规划以来，我国不断加大改 我国的启示，从而优化我国医疗服务供给结构，提出 革力度，改革的着力点在于对医疗服务的供给侧进 对我国医疗服务供给模式改革行之有效的政策建议。 行改革。从我国医疗服务供给市场情况来看，市场