医药卫生体制改革不仅关系到全体公民的身体健康和生命安全,也关系到居民的社会保障水平。文章认为医药卫生体制改革需要科学界定医疗服务的性质及可由市场提供医疗服务的具体内容,需摸清我国卫生投入和医疗保障水平现状,需明确公立医院改革方向并探索多元办医途径,需确立院际合作及基层医院改革方式,需加快中医药事业发展并大力推进医生多点执业,只有做好以上五个方面基本工作,医药卫生体制改革才能顺利实施。 Medical and health system reform not only concerns the health and safety of all citizens, but also the residents’ level of social security. The article holds that the medical and health system reform needs to scientifically define the nature of medical services and the specific content of medical services that can be provided by the market. To find out the status quo of health investment and medical security in China, we need to clarify the direction of public hospital reform and explore ways to diversify medical services. Inter-hospital cooperation and reform of grass-roots hospitals need to speed up the development of traditional Chinese medicine and vigorously promote the doctor to practice more. Only by doing the basic work in the above five aspects can medical and health system reform be successfully implemented.