我国医药卫生体制改革进展、难点与挑战

Progress, roadblocks and challenge for China＇s medical and health system reform

介绍了目前我国医药卫生体制存在的核心问题，并指出在经济转型时期我国医药卫生体制的核心问题是制度缺陷。概述了近3年来我国医药卫生体制改革取得的主要进展以及成果，包括卫生发展理念和体制不断创新，初步建立覆盖全民的基本医疗保障制度，初步建立和实施国家基本药物制度，建立和健全基层医疗卫生服务体系，提高了基本公共卫生服务均等化和公立医院改革试点全面启动。同时论述了我国医药卫生体制改革的难点与挑战，如医疗服务供需矛盾日益突出，体制机制改革推进举步艰难，药品生产流通领域矛盾突出，公立医院改革缺乏顶层设计，人才队伍建设缺乏系统规划。

The author earmarked institutional defects as the key to China＇s medical and health system rform during the economic reform. Main progress and fruits of this reform during the past three years are listed as follows： theory and system innovation, initial establishment of the primary healthcare security system of nationwide coverage, establishment and implementation of the essential drug system, establishment and perfection of the primary healthcare system, equity of primary public health service, and general startup of public hospitals reform. In addition, the author identified such reform roadblocks and challenges as growing conflicts between the demand and supply of healtheare services, resistance for furthering the system reform, conflicts in drug production and circulation, lack of top-tier design for public hospital reform, and lack of systematic planning for talent development.