新时期我国医疗卫生体制改革探析——基于公共财政的视角

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医疗卫生事业是公益事业,涉及人民群众的切身利益。“十二五”时期我国医疗卫生体制改革方案将“政府主导”作为基本原则,突出强调公共财政应该增加对医疗卫生的投入,公共财政投入的重点是公共卫生领域和人民群众的基本医疗服务。鉴于医疗卫生体制的特殊性、复杂性,笔者认为从事高端、专科的医疗卫生服务应以行政严格监管下的市场为主,而初级医疗卫生服务部分应回归公益,这是中国医疗卫生体制改革应遵循的主线。 Health care is a public welfare undertaking and involves the vital interests of the people. During the “12th Five-Year Plan” period, China’s medical and health care system reform plan will use “government-led” as a basic principle, highlighting that public finances should increase investment in health care, and the focus of public financial investment is on the public health field and the people. Basic medical services. In view of the particularity and complexity of the medical and health system, the author believes that high-end, specialist medical and health services should be dominated by the market under strict administrative supervision, while the primary medical and health service part should be returned to public welfare. This is the reform of the Chinese medical and health system. Follow the main line.
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陕西省子长县于2008年发起了以控制医药费用不合理增长为核心的公立医院改革。本文首先以子长县为蓝本,简要介绍了我国现行公立医院管理体制,并对我国改革开放以来的公立医院