对我国医疗卫生体制改革理念的几点思考——由神木模式想到的

Reflections on Theoretical Ideas of Chinese Healthcare Reform——From the Healthcare Reform in Shenmu County

神木医改成功经验的核心是正确把握了中央医改文件的核心理念,而这一核心理念的本质是:一个社会核心价值观的博弈与选择问题;实现公平效益的制度设计问题;实现政府作为问题(过去的问题不是市场失灵而是政府失能);努力打破城乡二元经济结构做好转移支付的管理,确保社会的和谐稳定问题;农村卫生体制改革具有与城市完全不同的体制背景,因此,神木模式具有普遍意义。

Core reason for the success of the healthcare reform in Shenmu county lies in the correct implementation of central government＇s core policy on healthcare reform, which can be explained in many ways. The core policy can be explained as the balance and selection of social core values, as the system design of achieving just benefit, as the issue of realizing government＇s supposed obligations, as the issue which tries to break out the dual conomic structure between towns and rural areas and successfully manage distant payment in order to ensure social stability and harmony. The rural healthcare reform has a totally different systematic background as that in cities, thus the Shenmu mode has a universal significance.