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1、中国卫生政策研究2014年4月第7卷第4期·专题研究·我国社会办医政策回顾与分析1,2∗11311金春林王贤吉何达施莉莉谢春艳王瑾1.上海市卫生发展研究中心上海2000402.上海市人口与发展研究中心上海2011993.上海交通大学公共卫生学院上海200025【摘要】我国社会办医政策经历了很长时间的演变过程,目前已经建立了较为全面的政策体系。本文回顾了我国社会办医政策的历史沿革,从规划、准入、财政投入、监管、扶持和优惠政策等方面系统梳理了现行政策要点,从三个层面分析了当前面临的政策障碍:政策观念层
2、面,各地对社会办医地位和作用方面的认识尚未达成一致,影响到相应的政策制定和落实;政策设计层面,社会办医发展仍面临多方面的政策瓶颈,存在政策灵活性不够、衔接不畅、标准含糊等问题;政策执行层面,社会办医相关规划政策和同等待遇未得到落实,存在大量隐形障碍。建议加强对发展社会办医重要性的认识,合理选择社会办医模式,拓宽社会办医发展空间,完善医疗机构分类管理政策,并强化社会办医政策执行的督导和考核评估。【关键词】社会办医;政策回顾;政策分析;政策建议中图分类号:R197文献标识码:Adoi:10.3969/
3、j.issn.1674-2982.2014.04.001PrivatemedicalinstitutionsinChina:Policyreviewandanalysis1,211311JINChun-lin,WANGXian-ji,HEDa,SHILi-li,XIEChun-yan,WANGJin1.ShanghaiHealthDevelopmentResearchCenter,Shanghai201199,China2.ShanghaiPopulationandDevelopmentResea
4、rchCenter,Shanghai200040,China3.SchoolofPublicHealth,ShanghaiJiaoTongUniversity,Shanghai200025,China【Abstract】TheevolutionofChina’spolicyonprivatemedicalinstitutionshasbeenongoing,andacomprehen-sivepolicysystemhasbeenestablished.Inthispaper,wereviewth
5、edevelopmenthistoryandsummarizethemainpolicypointsintermsofplanning,approval,financialinput,supervisionandadministration,supportandincentives.Weanalyzecurrentpolicybarriersfromthreelevels:1)policyideas,consensusonthefunctionandroleofprivatemedicalinst
6、itutionshavenotreached,whichmayinfluencethecorrespondingpolicymakingandimplementation;(2)policydesign,multiplepolicybottlenecksstillexist,suchaslackofflexibility,poorconvergence,vaguestand-ardsandotheraspects;3)policyimplementation,thehealthplanningpo
7、licesandequaltreatmentpoliceshaven’tbeencarriedout,andtherearemanyhiddenobstacles.Tosolvetheseproblems,werecommendthatfurtherattentionbepaidtotheimportanceofprivatemedicalinstitutions;therunningmodeshouldbechosenproperly;thedevelop-mentspaceshouldbeex
8、panded;theclassifiedmanagementpolicyshouldbeimproved;andthesupervisionandex-aminationofpolicyimplementationonlocalgovernmentsshouldbeintensified.【Keywords】Privatemedicalinstitutions;Policyreview;Policyanalysis;Policyrecommendation2013年11月,十八届三