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论述了基本医疗服务均等化政策演进过程,从理论角度、实践角度、国际化角度分析了基本医疗服务均等化的客观必然性。阐述了基本医疗服务均等化的战略选择:基本卫生服务的宗旨是投资于人民健康、公益性质;坚持“低水平、广覆盖、高效率”的方针;建立政府主导的多元卫生投入机制,完善公共卫生服务经费保障机制;变革卫生支出的投放方向,增加基本公共卫生服务的可及性;建立高效规范的医药卫生机构运行机制,加强绩效考核等。
The evolution of the equalization policy of basic medical services is discussed. The objective inevitability of the equalization of basic medical services is analyzed from the perspective of theory, practice and internationalization. The basic principle of health services is to invest in people’s health and the nature of public welfare. The principle of “low-level, broad coverage and high efficiency” should be adhered to. The establishment of a government- Improve the funding mechanism of public health services; change the delivery direction of health expenditures, increase the accessibility of basic public health services; establish efficient and standard operation mechanism of medical and health institutions and strengthen performance appraisal.