国际医疗保障制度市场参与改革的经验及启示——以美、英、德为例

在医疗保险制度运行中引入市场机制,已经成为国际医疗保障制度改革的重要趋势。由于制度的起点、发展路径以及政府和市场的角色分工的差异,导致市场参与在不同的制度类型中呈现不同特点。为了更深入把握国际医疗保险领域市场参与趋势和特点,本文选择英德美等三国分别作为以上三种模式的代表国家,从市场参与改革的实践过程中,把握改革发展的背景、市场参与形式、成效及发展趋势等,并探讨对我国医疗保险制度运行市场化带来的启迪与意义。

International medical guarantee system market attending reform’s experience and inspiration-take America,Bntain and Germany as example

Introducing the market mechanism into the operation of the medical insurance system,has become an important trend in the reform of the international medical system.Due to the differences of the starting point of the system,the development paths,the roles of governments and market divisions,the market participation in different types of system present different characteristics.In order to further grasp the trends and characteristics of the market participation in the medical insurance,this article chooses Britain,the United States,Germany as the examples to analysis the processes,the backgrounds,the forms,the achievements and the trends of the market participation reform,and try to discuss the enlightens it brings to the market participation in medical insurance system of China.