1994年12月4日～18日,笔者作为江苏省医院管理干部培训中心赴澳考察团成员之一,对澳大利亚维多利亚州、墨尔本市7所医疗机构进行了考察访问。在考察过程中,对澳大利亚这个市场经济发育比较完善的国家,感受最深的就是“社会医疗保险”。但这些制度能够推广和实行与这种“制度”相配套的管理办法是分不开的。 在澳大利亚实行的是“全民医疗保险”,政府法律规定除低收入者外(年收入在12 000澳元以下)凡取得居留权的公民都要参加,按个人收入的1.25％缴纳医疗保险金(又叫医疗税),作为医疗保险的个人投入部分,除此之外,国家还从其他税收中拨出一定经费组成社会医疗保险基金,为公民提供基本医疗保健服务,实际上是一种政府调控下的卫生部门主 December 4, 1994 to 18, the author as Jiangsu Provincial Hospital Management Training Center to visit Australia one of the members of the Victoria, Australia, Melbourne City, seven medical institutions conducted a study visit. In the course of the study, the most profound thing about Australia, the country with a relatively developed market economy, is “social medical insurance.” However, it is inseparable that these systems can promote and implement management measures that are compatible with this “system.” In Australia, “universal health insurance” is practiced. According to government law, citizens who have the right of abode other than low-income earners (annual income below A $ 12,000) are required to pay medical insurance premiums at 1.25% of their personal income Called medical tax), as a part of medical insurance investment, in addition, the state also set aside funds from other taxes to form a social medical insurance fund for citizens to provide basic health care services, in fact, is a government regulation The head of the health department