作　　者： (肖柳珍）;

机构地区： 南方医科大学卫生管理学院·广东省高校哲学社会科学公共卫生政策研究与评价重点实验室,广东广州510515

出　　处： 《中国医院管理》 2017年第9期4-6,共3页

摘　　要： 基本医疗改革的财政投入模式应从单一关注医疗服务供给转向协同关注医疗服务产出,无过错医疗损害救济应纳入国家财政投入的预算体系。面对医疗损害的高发性,以救济为中心的医疗侵权责任制度应向以预防中心的制度进行改革。医疗过失诉讼制度对医疗体系有着深刻的负面制约作用,在极力推进管理式医疗的医改进程中,尤其要重视此负面影响。基本医疗改革应联动当前的医疗侵权责任制度,从更宏观的视角进行制度供给设计。 Financial funding model of basic medical service reform should shift from single paying attention to supply of medical services to coordination concern about medical service output. No fault medical damage compensation system should be included in the budget arrangement of national financial investment. In the face of high incidence of medical damage, the center of medical tort liability system should be changed from relief patients to prevention of medical injury. Negligence litigation system has a profound negative impact on health care system. Most attention to this negative influence should be paid when efforts are made to promote managed care. It is necessary to change basic medical service system linking with current medical tort liability system so as to design from a more macro perspective of system supply.

关 键 词： 基本医疗 改革 侵权责任 管理式医疗