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党的十一届三中全会以来,我国医疗卫生战线上尝试了多种形式的改革:如农村的合作医疗、医疗联合体、跨地区联合办院、聘请专家办院、股份制医院、集体或个人办院等等。这些改革虽然在某些方面某种程度上改善了一些医疗形势,解决了一些看病难住院难的的状况,给小医院和病人带来了利益,但在计划经济公费医疗体制的主宰下,医疗领域中没有引入竞争机制,大医院吃不了,小医院吃不饱,医疗卫生资源浪费与看病难、住院难两种矛盾现象同时并存的不正常局面并没有得到根本改变。
Since the Third Plenary Session of the Eleventh Central Committee of the Communist Party of China, various forms of reforms have been tried on China’s medical and health front: rural cooperative medical care, medical consortium, inter-regional joint offices, hiring of experts to run hospitals, joint-stock hospitals, collectives or individuals Offices and so on. Although these reforms have, in some respects, improved some medical situations to a certain extent and solved some cases in which hospitalization is difficult for hospitalization, benefiting small hospitals and patients, under the dominance of the planned economical public medical system, There is no competition mechanism introduced in the field. Large hospitals cannot eat, small hospitals do not eat enough, and the abnormal situation in which both the waste of medical and health resources and the difficulty of seeing a doctor and the difficulty of hospitalization coexist at the same time have not been fundamentally changed.