DESIGNING EFFECTIVE HEALTHCARE: MATCHING POLICY TOOLS TO PROBLEMS IN CHINA
DESIGNING EFFECTIVE HEALTHCARE: MATCHING POLICY TOOLS TO PROBLEMS IN CHINA
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DOI：
10.1002/pad.1781
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发表时间：
2017-02-01
影响因子：
2.5
通讯作者：
Ramesh, M.
中科院分区：
文献类型：
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作者：
Bali, Azad Singh;Ramesh, M.
医疗改革往往导致令人失望的失败，由于他们追求的误导目标和他们采用的有缺陷的手段。该论文提出，有效性（定义为以社会可承受的成本普遍获得基本医疗保健）是一个值得实现的目标。但要实现有效性，改革者需要放弃他们对市场或政府的先验偏好，而是选择一系列针对不同问题的政策工具。本文将认为，协调使用监管，财政，信息和组织工具塑造医疗服务提供者，保险公司和用户的行为可以实现有效的医疗保健。本文将重点介绍这些工具在中国的使用、滥用和不使用情况，以阐明这些工具在卫生政策改革中的作用。中国的经验教训对世界上正在努力进行卫生部门改革的发展中国家具有高度相关性。版权所有（C）2017约翰威利父子有限公司
Healthcare reforms often result in disappointing failures due to the misguided goals they pursue and the flawed means they employ. The paper proposes that effectiveness-defined as universal access to essential healthcare at a cost affordable to society-is a worthwhile and achievable objective. But to realize effectiveness, reformers need to discard their a priori preferences for markets or governments and instead select a range of policy tools targeting different problems. The paper will argue that a concerted use of regulatory, fiscal, informational and organizational tools shaping the behaviour of healthcare providers, insurers and users can achieve effective healthcare. The paper will highlight the use and misuse as well as non-use of these tools in China to shed light on tools ' approach to health policy reforms. Lessons from China are highly relevant to developing countries around the world trying to reform their health sector. Copyright (C) 2017 John Wiley & Sons, Ltd.