医师管理制度的国际比较被引量：11

An international comparison of physician control systems

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摘要创造适当的制度氛围,对医生进行合理的激励和约束,让医生为患者提供合理的服务,可能是解决目前中国诸多医疗管理问题的突破口,在这样的背景下,本研究关注医生的管理问题,集中分析医生的准入过程、执业方式、 This study compares physicians＇regulations set by the United K ingdom,the United States,Canada and Germany which have typical healthcare systems.Physicians＇regulations are defined in this study as four as-pects： physicians＇training and qualifications,career pathways,paymentmethods and behavior regulations.Strict access rules,practicing with freedom,d ifferent training models between general and special practitioners,health services priced by negotiations and regulations by professional organizations are the common features of physicians＇ regulations in these fourwestern countries.Three aspects-introducing contractmechanism,enhancing the roles of professional organizations and extend ing physicians＇practice space should be taken into account in China＇s future reform of physicians＇regulations.

作者简伟研熊先军李静湖丁扬王丽莉郭岩

机构地区北京大学公共卫生学院卫生政策与管理学系中国医疗保险研究会卫生部人才交流服务中心

出处《北京大学学报（医学版）》 CAS CSCD 北大核心 2011年第2期320-322,F0003,共4页 Journal of Peking University:Health Sciences

关键词医师组织和管理国际比较 Physicians； Organization and adm inistration； International comparison

分类号 R192.3 [医药卫生—卫生事业管理]

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1Maynard A.Financing the U.K.national health services[J].Health Policy,1986,6(4):329 -340.
2Milne RG,Torsney B.Financial incentives,competition and a two tier service:lessons from the UK National Health Service internal market[J].Health Policy,2003,64(1):1 -12.
3Health care financing policies in of Canada,United Kingdom and Taiwan[R/OL].[2010-02-02].http://www.legco.gov.hk/yr06-07/english/sec/library/0607rp02-e.pdf.
4Louise RS,Woollard D.Resource allocation decisions in Canada' s health care system:can these decisions be challenged in a court of law[J].Health Policy,2002,62(3):275 -290.
5Stolberg HO.The Canadian health care system:past,present,and future[J].J Am College Radiol,2004,1 (9):659 -670.
6Lichtenstein RL.The United States' health care system:Problems and solutions[J].Sur Ophthalmol,1993,38(3):310 -316.
7Health Care[R/OL].[2010-02-01].http://www.whitehouse.gov/Issues/health-Care.
8Kamke K.The German health care system and health care reform[J].Health Policy,1998,43(2):171-194.
9Kuhlmann E,Allsop J,Saks M.Professional governance and public control a comparison of healthcare in the United Kingdom and Germany[J] ,Current Sociol2009,57(4):511-528.
10Worz M,Busse R.Analysing the impact of health-care system change in the EU member states-Germany[J].Health Economics,2005,14(Suppl 1):S133一S149.