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医改的初衷是为了解决老百姓“看病贵”、“看病难”的问题,可几轮改革下来,这一问题非但没有解决,反而使得医院“门槛”越来越高;仍有相当多的人无法享受应有的基本医疗服务;有近一半的人不去就诊,三成的患者应住院而不住院,九成的居民对近10年的医疗改革非常不满意……这些数据让中国医改重新站在十字路口。20年医改不成功的根本原因在哪里?以后的路该往哪里走?
The original intention of medical reform was to solve the problem of “advanced medical care” and “difficulty in seeing a doctor” in the common people. It could be reformed several rounds. This problem has not been solved, but has made the hospital’s “threshold” higher and higher; there are still quite a few people unable to do so. Enjoy basic medical services as required; nearly half do not go to the clinic, 30% of the patients should be hospitalized without hospitalization, and 90% of the residents are very dissatisfied with the medical reforms in the past 10 years... These data make China’s health reform stand up again crossroads. What are the root causes of unsuccessful medical reform in 20 years and where can we go afterwards?