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国外卫生“守门人”制度功能演变对我国的启示与思考
引用本文:许岩丽 刘志军. 国外卫生“守门人”制度功能演变对我国的启示与思考[J]. 医学与哲学(人文社会医学版), 2007, 28(5): 17-19
作者姓名:许岩丽 刘志军
作者单位:河北工程大学医学院 河北邯郸056029(许岩丽),河北工程大学附属医院 河北邯郸056029(刘志军)
摘    要:卫生体制的改革是令各国政府关注的世界性议题。对卫生系统的研究既要关注宏观结构的转变又要关注微观具体政策的功能,既要考虑政策实施的刚性又要注重发挥市场的配置效应。着重讨论非市场体制的代表英国、市场体制的代表美国、混合体制的代表澳大利亚三个国家“守门人”的特征功能,及不同时期其角色和功能的演变,尤其是对我国现行医疗体制的启示与思考。

关 键 词:卫生体制  守门人制度  全科医疗  功能演变
修稿时间:2007-03-12

The Elicitation to Our Country from The Overseas Evolvement of latricai Commissionaire
XU Yan-li, LIU Zhi-jun.. The Elicitation to Our Country from The Overseas Evolvement of latricai Commissionaire[J]. Medicine & Philosophy:Humanistic & Social Medicine Edition, 2007, 28(5): 17-19
Authors:XU Yan-li   LIU Zhi-jun.
Affiliation:Medical College of Hebei Eengineering University, Handan 056029, China
Abstract:The hygienical reformation is the topic for discussion of many govements. The study of hygienical system need paying more attention to change of macrostructure and the function of microcosmic policy, we need thinking over both how to bring policy into effect and how to scheme the offect of marketable.To emphasize the representative of non-marketability :Great Britain, the representative of marketability: America, the representative of composite system: Australia.Change and characteristic of iatrical commissionaire from the three country are valuable revelation for us.
Keywords:the hygienical reformation  system of iatrical commissionaire  general practice  evolvement of function
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