全球最有效率的醫療衛生體系如何應對挑戰？：香港特別行政區的醫療管理體制、醫療改革舉措及對內地的啟示

我國醫藥衛生體制改革取得了有目共睹的成績，在深化醫改的過程中，可以更多參考借鑒其他華人社會的成功經驗並汲取其教訓。香港特別行政區的醫療衛生體系蜚聲國際，高居“全球最有效率衛生體系”之冠。本文主要評析香港特區的醫療管理體制，遇到的挑戰，以及近年來的重要醫改舉措，並總結其對內地醫改的啟示。香港的醫療衛生治理結構充分實現了“管辦分開”，解決了“九龍治水”問題，醫管局管理體制具有較高的效率和專業性。但是香港特區醫療系統也面臨諸多挑戰，特區政府近年來推行了自願醫保、公私營協作計畫、長者醫療券等若干醫改政策，其中許多改革理念和政策工具可供內地醫改借鑒。
Mainland China's healthcare system reform has achieved remarkable results. As the reform progresses, more efforts could be made in policy-learning from other Chinese societies with more successful experiences. Hong Kong Special Administrative Region has an internationally renowned healthcare system, ranked at the top in the world's most efficient health systems. This paper reviews Hong Kong's health governance system, the challenges it has faced, its reform initiatives in the recent years, and discusses their implications for the mainland China. Heath governance in Hong Kong has fully realized the separation of regulationswith operation, thus overcoming major institutional barriers. The Hospital Authority of Hong Kong has demonstrated very high efficiency and managerial professionalism. However, Hong Kong's healthcare system is also facing various daunting challenges, and the government has introduced a series of reform initiatives, including the Voluntary Health Insurance Scheme, Public-Private Partnership, and Elderly Health Care Voucher. Many reform ideas and policy instruments can be of reference value for healthcare system reforms in the mainland. Copyright © 2018 中國醫學科學院.