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前言 日中两国医疗制度的现状与课题

东京女子医科大学 校长
丸 义朗


人力资源和社会保障部中国人事科学研究院工资福利研究室 主任
中国人才研究会工资福利专业委员会 副会长
何 凤秋

Compensation Reform of Public Hospitals in China

This paper starts from describing the background of the compensation reform of public hospitals in China, and then it gives an overview of compensation level, compensation structure and compensation system of hospital directors involved in the reform since 2017, and finally it points out that other measures including clarifying the public function of public hospitals, strengthening financial security, reforming the personnel system and improving performance management are needed in the future.

【Key words】
public hospital, compensation reform, compensation level, compensation structure, performance management


公立医院院长职业化能力建设专家委员会 委员
许  速

Current Situation and Prospect of Operation and Management of Community Health Services in China
―― Based on the Typical Case Analysis of Shanghai

This paper summarizes the characteristics of operation and management of community health services in the world, combs the current situation and existing problems of community health services in China, and focuses on a comprehensive analysis of the standard-based operation and management mechanism of community health services in Shanghai, thus putting forward the key point of establishing a scientific and efficient operation and management system of community health services, that is, to establish a standard based fine management system.

【Key words】
Community health service, Operation; Analysis


东京女子医科大学附属成人医学中心 所长

Japanese Healthcare Delivery System

Japanese healthcare system is characterized by the two major points. The medical fee schedule sets the value for all procedures, drugs, etc, and it is uniformly applied to all reimbursement policies in all hospitals and clinics. The second point is that most of the healthcare providers are private hospitals and clinics. Medical Care Act defines to ensure the medical care delivery system to the public and in 1985, the Government revised this law that the prefecture must provide a “medical care plan” for ensuring the quantitative medical care within the designated “secondary medical region” and can limit the numbers of hospital beds. It is often said that there are abundant bed numbers and from the point of national economy, it is unbearable in the coming aged society. Hence, the MHEW is reinforcing to build up the community based integrated care system, which will promote a shift from a hospitalization to a home health care.

【Key words】
Medical Care Act, secondary medical region, community-based integrated care system, home health care


圣路加国际大学公共卫生大学院 特聘教授
庆应义塾大学 名誉教授

Japan's fee schedule

The fee schedule sets nationally uniform service fees, the conditions of billing each item and drug prices. All public health insurance plans pay the same fee for the same service received by their enrollees to all health care providers. By revising the fee schedule every two years, costs have been contained and policy goals have been achieved.

【Key words】
fee schedule, cost containment, physician fees, drug prices, geographical disparity


纽 带 

国际医疗福祉大学研究生院 教授

访 谈

日本大学医学系功能形态学系细胞再生与移植医学领域 副教授
李 予昕

后 记 传媒委员长  上塚芳郎