A Study On Family Doctor System: From Governmental Supplying To Social Supplying Mode

In China，the system of family doctor is just in the initial stage of exploringand innovating. Is it better to carry on the supplying mode led by the lower levelgovernment or to take the organizational reform and to start to explore the socialsupplying mode supported by government? The new healthcare reform proposedthat the system of basic healthcare should be provided as a public product to allthe citizens. The essence of medical healthcare is the quasi-public goods, whichhas the qualities of being partially non-exclusive and non-competitive. Thus, thequasi-public goods could be provided by the government or non-profitorganizations or individuals. Market belongs to the category of commodityeconomy, and the historical category with the functions of value realization,supplying, service, etc. So it is important to see the market straight. The market should play a decisive role in the resource allocation rather than a certain role,which cannot be reversed, and meanwhile，the government should also comeinto a better play. Therefore，this article discussed some successful experiencesof the supplying mode of family doctor system led by the lower levelgovernment，and also pointed out some deficiencies in this mode mainly basedon the public welfare. In addition， the article studied on the servicecharacteristics of the social supplying mode of family doctor system in the othernations. According to the itinerary map of Shanghai public hospitals reform，the market relationship between the hospital and government can bestrengthened by purchasing the services. Finally， the article offered aninnovative idea of the transition from the supplying mode led by the lower levelgovernment to the social supplying mode supported by government.The connotation of the social supplying mode is that both the public andthe private should be involved in the public service supplying mode，led by thegovernment policy，attracting more social tangible to facilitate the medicalinstitutions，and strengthening the intangible social capital to participate. Thefocus of this study is “strategic concept”，including the domestic and externalopportunities， government management， the construction of system andmechanism， the risk prediction of prospect， the strategic solutions andsuggestions， and so on. The highlights of this new mode are the transformationof government functions in the service of family doctor system，the opening of market access， making most of the social forces，boosting the governmentpurchases，and further developing the service of family doctor system.However，there must be some risks in any reforms. Although the socialsupplying mode is more like the flat ground rather than a depression，there arestill some risks walking on the flat ground. The risk is not terrible，but the key isto control the risk. Therefore，both the role of healthcare economic market andthe role of government should be played. When making a decision，arranging asystem and promoting the social supplying mode of family doctor system，thegovernment should be on the premise of risk control，not allowing the systemicand regional risks. We strongly believe that the social supplying mode of familydoctor system will be out of predicament by relying on the innovation of systeminstead of the preferential policy.