单纯依靠经济与市场力量的医改已难以如愿。改革开放以来,社会医疗需求的飞速增长和卫生资源的相对短缺,是长期存在于我国社会的一对矛盾。随着人民公社的解体,原农村合作医疗制度在绝大部分地区迅速瓦解;在城镇范围,公费医疗制度和劳保医疗制度也在不同程度上逐渐衰落。而与此同时,经济的发展和人民生活水平的提高,使得社 Medical reform that relies solely on economic and market forces has struggled. Since the reform and opening up, the rapid growth of social medical needs and the relative shortage of health resources have long been a contradiction in our society. With the dissolution of the people’s commune, the former rural cooperative medical system rapidly collapsed in most areas; in the urban area, the public medical insurance system and the labor insurance medical system also declined to varying degrees. At the same time, economic development and improvement of people’s living standards have made the society