妥善处理医药卫生体制改革中的五对关系

Dealing With Five Pairs of Relationships in Health Care System Reform

本文通过深入辨析医疗卫生体制改革中的五对关系:医疗机构与卫生部门、医疗机构与医药企业、医疗机构与医保机构、医患之间、公立医院与私立医院之间的关系,得出医改过程中的难点和重点在于平衡各方的利益,给需方以利益表达渠道,给供方以合理的利益补偿。同时提出,改革应遵循建立公平的竞争机制、有效分配医疗资源等原则。妥善处理这五对关系是中国医改的核心内容。

The article intensively analyzed five pairs of relationship in health care system, which included the relationship between medical institutions and departments of health, between medical institutions and pharmaceutical enterprises, between medical institutions and health insurance, between physicians and patients, between public hospitals and private hospitals. It can be concluded that the most crucial and dififcult part is to balance the interests of all parties in the process of health care reform. The demanders should be provided interest expression channels. Meanwhile, it is also necessary to offer reasonable beneift compensation to suppliers. The aims of the reform are to formulate fair competition mechanism and distribute medical resources effectively. In brief, the core of health care system reform is to handle these ifve pairs of relationship appropriately.