对我国医疗卫生体制改革的思考

Pondering over Chinese Medical and Health System Reform

目的:探讨我国医疗卫生体制改革的目标及应当采取的措施。方法:简要回顾我国医疗卫生体制的变迁,分析我国目前医疗卫生体制中存在的主要问题,提出我国下一步医疗卫生体制改革的目标及相应措施。结果与结论:我国医疗卫生体制改革要与医疗保险体制改革、药品流通体制改革联动、配套;改革中央财政投入体制,实行“普惠”原则,消除城乡差别与区域差别,实现基本医疗卫生服务的均等化;有关部门要完善资源管理制度、优化医疗资源配置;政府还要加强对医疗卫生服务行业的监管,推动医疗卫生服务业健康发展。

OBJECTIVE： To discuss the goal and the measures that should be taken in the reform of Chinese medical and health system. METHODS： The changes of Chinese medical and health system were briefly reviewed and the current problems in which were analyzed, then the goals and the corresponding measures in the future medical and health system reform were put forward. RESULTS ＆ CONCLUSION： The reform of Chinese medical and health system should in line with medical insurance reform and drug circulation system reform. The central financial expenditure system should be reformed by carrying out the principle of “common benefits” and eliminating differential treatment between city and countryside or among areas so as to implement equalization in medical and health service. The concerned departments should improve resource management system and optimize medical resources allocation. The government should strengthen the monitoring on medical and health service industry to facilitate its healthy development.