以重庆医改为例论卫生立法之平衡

Take Chongqing Medical Reform as An Example to Analyze the Health Legislation Balance

重庆医改既有欠妥之处又有其合理部分,不能全盘否定。其失败的根本原因是单方面调整价格而未能抓住公立医院错位逐利症结。以对重庆医改合理与欠妥之处的分析为切入点,剖析了其未破除公立医院逐利症结、未构建合理补偿机制、仅靠价格调整单兵突进以及政策制定未充分与公众协商等失败原因,并讨论通过完善真正的公共选择机制、提高公共参与度的立法机制来促进我国卫生立法之平衡。通过总结重庆医改失败教训对我国医改在政策制定方面提供一定的理论参考。

The medical and health system reform in Chongqing has its own reasonable aspects, so it can not be totally repudiated. The reason for the failure of the reform is that it conducted unilateral price adjustment without solving the essential issue that hospitals always aim at making profit. In this paper, the authors summarized the causes of the failure of the reform, which include the reform did not solve the purpose of making profit by hospitals; the suitable mechanism of subsidies to hospitals by government had not been completely established; the reform had just made price adjustment; and the reformers had not communicated with the people when making the policies. To promote legislation balance in China, we should perfect public choice mechanism and promote citizen participation. By summarizing lessons from the failure of Chongqing＇s medical and health care reform, it may provide some theoretical references for policies making of medical and health care reform.