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源于福利国家模式划分研究的福利体制理论已经被广泛应用于国际或区域性社会福利模式以及单项或多项社会政策的比较研究中。但是医疗卫生体系却一直被这种研究忽略。本文以福利体制理论为依托,立足于医疗卫生的商品化和去商品化以及卫生服务公平性和不公平性两个维度,构建医疗卫生体制研究范式,进而尝试对中国城市医疗卫生体系的三个发展阶段进行模式划分。进行此种模式划分的风险性很大,但其价值在于能够抽离出中国城市医疗卫生服务体系筹资、供给和管理背后的政治经济学理念,对新一轮医疗卫生改革具有积极的理论启示和借鉴意义,同时也丰富了比较医疗政策研究理论。
The theory of welfare system from the division of welfare state models has been widely used in international or regional social welfare models and comparative studies of single or multiple social policies. However, the health care system has been neglected by such research. Based on the theory of welfare system, based on the commercialization and de-commercialization of health care and the fairness and unfairness of health services, this paper constructs the research paradigm of medical and health system, and then tries to analyze the three health-care system in China Development stage for pattern division. The risk of such a pattern is great, but its value lies in its ability to pull out the concept of political economy behind the financing, supply and management of China’s urban health care system. It has positive theoretical implications for the new round of health reform. Reference significance, but also enriched the theory of comparative medical policy research.