全民健康保险与公立医院的公益性:加拿大经验对中国新医改的启示

在很多中国人的心目中,只有政府增加补贴,公立医院才能保持公益性。这一理念具有误导性。加拿大的经验启示我们,推进全民健康保险,提高医保的支付水平,让医保支付成为医疗机构收入的主要来源,才是医疗事业实现公益性的可行之路。对于医疗机构提升服务能力所需的资本投入,政府有责任给予补贴;但公共资源毕竟有限,鼓励社会资本进入医疗服务领域,促进多元化办医,也是值得追求的公共政策目标。

National Health Insurance and Public Hospitals' Serving for the Public Interests:The Implications of the Canadian Model for China's New Healthcare Reforms

It is widely assumed in China that public hospitals serve for the public interests only if the government heavily subsidizes them.This idea is misleading.As the Canadian model inspires,to promote universal coverage of health insurance so that insurance payments become a major source of providers' revenue is a desirable approach to hit the goal of the health care sector serving for the public interests.Meanwhile,the government has the obligation for providers' capital investment.However,since public resource...