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 标    题: “金砖四国”医疗卫生体制改革比较及思考
作 者: 戴卫东
单 位: 安徽师范大学
文章类别: 社会学
关 键 词: “金砖四国” ; 医疗卫生; 改革; 公平与效率
中文摘要: 被誉为“金砖四国”的中国、俄罗斯、印度以及巴西,由于经济体制转轨和政府财政投入不足等因素,先后于20世纪80-90年代进入了医疗卫生体制改革阶段。四国医改主要在初级医疗卫生保健系统、公立医疗服务的筹资机制、私立医疗卫生服务体系的引入以及医疗卫生管理体制等方面进行了不同路径的改革。通过建立基于公平与效率的医疗卫生体制改革的分析框架,对四国医改的成败与得失做出评价,并进一步指出中国“新医改”的核心所在。
英文摘要: China, Russia, India and Brazil are known as “BRICs”. Because of economic transition and the lack of government financial investment, the four countries began a series of medical and health reforms during 8090 years of the 20th century. They introduced different reforming paths, mainly in primary health care system, financing mechanisms of public health care, private medical and health system, and health management system. Through the establishment of the analytical framework based on rules of fairness and efficiency, the paper evaluates the success and failure of medical and health reforms in the four countries, and explains clearly what focuses China's "new medical and health reform" should put on.
作者简介: (1968-),男,安徽桐城人,安徽师范大学历史与社会学院副教授,研究方向为社会保障理论与政策。
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