公立医院改革与三医联动

Reform of Public Hospitals and the Joint Reform of Medical Insurance, Pharmacy Purchase Regime and Medical Service Provision

公立医院改革是当前医改的关键。"三医"联动助推公立医院改革不等于医保、医药和医疗三个部门之间的行政化合并,而是要各司其职,形成相互制约、平衡的有序竞争机制,形成与社会主义市场经济体制相适应的资源配置机制。从这个角度看,"三医"联动要避免诸如医保成为公立医院"成本补偿"渠道等重新行政化、计划化的思路,而是要从推动公立医院去行政化改革的角度,加快推进医保医师制度,推进医疗服务与医药的分开支付,实现符合医改总目标的"三医"联动新机制。

The Joint reform of Medical Insurance, Pharmacy Purchase Regime and Medical Service Provision has been issued in recent years to advance the reform of public hospitals, which has become the key task of medical reform in China. However, the aim of the joint reform is to form an independent, mutually restricting, balanced and effective competitive mechanism among different sectors rather than merging them as one government department, and to form a resource allocation mechanism adapting to current socialist market economic system. It should avoid that medical insurance becoming a tool of cost reimbursement for public hospitals; but from the point of de-bureaucratic reform of public hospitals, we should promote establishing a health-insurance-physicians system and separating the payment of pharmacy from medical service, to achieve the general goal of three sectors jointacting in medical system reform.