法國醫療衛生體系及健保給付制度(上)【月旦時論】 試閱
The Medical System in France and the Health Insurance Payment System
法國自13世紀創建醫學院以後,其醫療及衛生法制就一直存在著理想性與獨特性。它是由國家所支持的體系,屬於公共服務的一環,有著強烈的公法性質;除了賦予醫師公會相當程度的自治空間,也搭配健全的全民健康保險。法國醫療體系中,法國版的DRGs是奠基於完整的醫療資訊系統分析而來,除了有著嚴格執行的分級醫療、雙向轉診制度之外,醫療責任主要由國家賠償法制而非醫師個人來承擔。
After founding the medical school in the 13th century, the French medical and health legal system have a ideality and the peculiarity. It belongs to one part of the public service which is supported by the state. It has also strong character of the public law. It gives relative wide range of the autonomy to the medical association, and cooperates with a well settled health insurance. The Diagnosis Related Groups in France are based on the completed analysis according to the medical information system. Beside of the levels of care and Referral system which are fulfilled strictly, the national compensation instead of Personal takes the medical responsibility for the patients.
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