政策專題研究系列
Policy Research Series
諮詢文件七：醫療 Consultation Paper 7: Health Services
有關公私營醫療合作
撮要
促進公私營醫療的分工合作
1.
現時公私營醫療失衡，引致公共資源不足，影響市民，尤其是低下階層的病人所得到的服務質素，缺乏資源進行疾病預防工作，同時亦浪費私營醫療的人力物力。
原則
2. 公私營醫療合作的原則在於
�� 增加市民使用醫療服務的選擇。
�� 方便市民選用公營或私營醫療服務，但絕不可迫使病人使用私營醫療。
�� 公營醫療有責任繼續為有需要的病人提供所需的服務。
建議
服務互相配合
3. 公營醫療應集中較多資源提供市民無法自行支付的服務。大部份市民有能力支付其費用的服務，公營醫療可以適當調教所投放的資源。
發展非牟利的醫療服務
4. 醫院管理局可尋求非牟利機構的合作，扶助其發展非牟利、自付盈虧的服務，為市民提供一種在收費水平、輪候時間等各方面都介於公營及私營服務之間的選擇。
分享設施資源及經驗
5. 公、私營醫療應善用彼此的資源，包括交流最新臨床資料、互借醫療設施等。
轉介病人
6. 部份病人在輪候公營醫療服務時，可能轉而尋求私營醫療服務，公私營醫療應編訂統一轉介程序，確保服務互相銜接，避免不必要的重複檢驗及診斷。此外應容許病人日後若轉回公營醫療體系，無需重新輪候。
明碼實價
7. 公營醫療體系應嘗試聯合私營醫院，制訂「套餐」服務，讓病人在治療前可預知所需費用。醫管局亦可協助發放資訊，為病人提供使用私營醫療的資料。
鼓勵醫療保險
8.當局應透過稅務優惠，鼓勵市民購買醫療保險，這有助減少公私營服務失衡。
Abstract
Cooperation between Private and
Public Health Services
1. The lack
of balance between the public and private health sectors nowadays leads
to wastages of manpower and resources in the private sector, insufficient
resources in the public sector, adversely affecting the quality of public
services, as well as the lack of public resources for disease prevention.
Principles
2. The principles of enhancing cooperation between
the private and public health services should be:
�� to increase patients’ choices of medical services;
�� to facilitate citizens to choose between public and private services
without compelling patients to private services;
�� to fulfil the obligations of the public sector to provide patients with
necessary services.
Recommendations
Enhancing Services Interfacing
3. The public sector should allocate more resources
to services unaffordable by most citizens, and appropriately adjust public
resources spent on affordable services.
Developing Non-profit Medical
Services
4. The Hospital Authority should seek cooperation
with non-governmental organisations to develop self-financing non-profit
making health services, with its fee levels, waiting time and other aspects
interpose between public and private health services.
Sharing Facilities, Resources
and Experiences
5. The private and public sectors should make full
use of resources of each other, such as the sharing of the most sophisticated
clinical information, medical devise and etc.
Referring Patients
6. To facilitate patients in waiting lists of public
sector turning to private sector for treatments, the public and private
sectors should work out patient referring procedures, so as to ensure
service interfacing and avoid repetitive screenings and diagnosis. Moreover,
patients should be allowed to return to the public sector whenever necessary.
Clear and Fixed Price
7. The public health sector should liaise with private
hospitals to formulate service packages, so that patients can estimate
their health expenditure. Moreover, the Hospital Authority should help
to provide patients with information of private medical services.
Encouraging Medical Insurance
8. The government should provide tax allowances
to encourage citizens to purchase medical insurances, so as to improve
the balance of the private and public health services.
