摘要
通过对国内、国外基本医疗卫生服务理论与实践的梳理,认为基本医疗卫生服务应当是最基本、人人能获得、体现社会公平、政府和居民都能负担得起的医疗卫生服务;要基于政府筹资能力、结合疾病发生特点来选择服务内容,可根据服务内容确定不同层级的服务包(一、二、三级包),逐步扩展实施。最后提出未来7年基本医疗卫生服务的实施策略:一是建立以基本医疗保障制度为支付主体的基本医疗卫生服务筹资体系;二是建立以公立医院为主、非公立医院为重要补充的基本医疗卫生服务提供体系;三是建立适应基本医疗卫生服务需求的卫生治理监管体系。
Based on combing theory and practice of domestic and foreign primary health services,and consider that primary health services should be basic,everyone can get,social equity,and can be afforded by government and residents.The services should be chose by government financing capability,and combined with disease characteristics.And you can determine the different levels of service packs（one-level,two-level,three-level）according to service content,and gradually expand to implement.Finally,it suggest implementation strategies for the next seven years of basic health services： firstly,establish a primary medical insurance system for the payment of primary health care financing system; secondly is to establish a primary medical health service finance system based on public hospital,and non-public hospitals as an important supplement; thirdly,establish a health management regulation system to adapt the needs of primary health services.
关键词
基本医疗卫生服务
概念
内容
实施策略
basic health services
concept
contents
implementation strategy
作者简介
石光（1963-），男，河北人，博士，研究员，国家卫生计生委法制司副司长，主要研究方向：卫生经济政策、卫生服务筹资、卫生服务支付制度、疾病经济负担、卫生技术评估、卫生总费用、医疗保险和医疗机构运行机制。
