摘要
改革开放以来 ,社会经济等宏观背景发生了巨大变化 ,使卫生改革与发展面临严峻挑战。经济体制改革对卫生改革产生辐射与影响 ;农村经济体制改革对乡村两级医疗卫生组织的冲击 ;价格改革对城乡医疗机构的影响 ;财政体制改革对卫生资源配置的影响 ;企业改革对医院改革的示范作用等。中国卫生改革面临一系列社会、经济、人口、健康模式等方面的挑战。对此 ,须在社会主义市场经济体制基础上构建医疗卫生体制 ,允许非公有制医疗机构更广泛地参与卫生资源的配置 ;分类重组国有医疗机构 ;加强公共卫生系统建设。转变政府职能 ,适当放松政府管制 ;加强政府的执法监督 ;建立与完善财政转移支付制度。
Since reform and open policy was followed, social economy and other macro background factors have greatly changed. Health reform and development are faced with many rigorous challenges: The radiation and effects of economy system reform on health reform, which charges town and village two-level health organizations in countryside. The effects of price reform on medical organizations in city and countryside, the effects of finance system reform on health resources disposition, the exemplary action of enterprise reform to hospital reform. China's Health reform is faced with a series of challenges such as society, economics, population, health pattern and so on. Thus, health care system must be constructed on the base of socialist market economy system, with not-public-owned medical organizations being permitted to join health resources disposition more comprehensively. State-owned medical organizations should be classified and recombined. Systemic construction of public health should be strengthened. Government's function should be changed. Government controls should be released properly, enforcement supervision should be strengthened. Finance transfer payment system should be established and perfected later.
