医药卫生体制改革失败的原因错综复杂,涉及环境、政治、经济、社会和文化因素,其中健康照顾服务“社会福利”性质不明确,卫生改革目标和国家福利责任含糊不清,卫生改革措施市场化取向明显和卫生改革理论政策研究严重滞后等问题是改革失败的重要结构性、制度化成因。 The reasons for the failure of the reform of the medical and health system are complex and involve environmental, political, economic, social, and cultural factors. Among them, the nature of health care services is not clear, the health reform goals and the state welfare responsibilities are ambiguous, and the health reform measures are market-oriented. The obvious and lagging issues in the research on the theory and policy of health reform are the important structural and institutional causes for the failure of reforms.