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2006年荷兰启动新一轮医改,整合医疗保险制度,并引入“有管理的竞争”模式。虽然荷兰的社会医疗保险由保险公司负责经办,但政府并不是撒手不管,而是完善市场准入、退出机制,制定统一福利待遇包,规范经办管理标准,测算分析数据,分配风险平衡资金,加大公共财政的支持力度,加强对保险公司和医疗机构的监管……在政府强有力的监管下,荷兰的社会医疗保险始终坚持非营利性。荷兰成为屈指可数被世界卫生组织、世界银行以及专家学者公认为医改比较成功的国家之一。
In 2006, the Netherlands launched a new round of medical reform, integrated the medical insurance system, and introduced a “managed competition” model. Although the social insurance in the Netherlands is run by insurance companies, the government does not abandon its control. Instead, it improves market access, withdraws from the system, formulates a uniform package of benefits, standardizes management standards, estimates and analyzes data, allocates risk-balancing funds , Increase support for public finances and strengthen supervision of insurance companies and medical institutions ... Social health insurance in the Netherlands has always insisted on non-profit under the government’s vigorous supervision. The Netherlands has become one of the few countries that the World Health Organization, the World Bank and experts and scholars have recognized as a relatively successful medical reform.