为人民群众提供安全、有效、方便、价廉的医疗服务是医改的基本目标,其关键举措之一是医疗资源配置均衡化。改革开放以来,广东省医疗卫生体制变革的基本走向是商业化、市场化,试图通过竞争以及私营资本的介入提升医疗资源配置效率。结果是,在提高医院技术装备水平和医生医疗技术水平的同时,也扩大了医疗资源配置的区域性差异,加剧了公共卫生服务的不平衡。改革思路调整的要点是:通过立法方式明确政府责任,确保卫生投入的充足、公立医院的公益性回归及医疗资源的提升与普及:设立设备互补、人员交流制度,建立对经济欠发达地区的医疗资源给予财政补贴制度;适当的利用市场机制,作为改善医疗资源配置的一种补充措施。 Providing the people with safe, effective, convenient and affordable medical services is the basic goal of health care reform. One of the key measures is to balance the allocation of medical resources. Since the reform and opening up, the basic trend of the medical and health system reform in Guangdong Province has been commercialization and marketization, and attempts to improve the efficiency of medical resource allocation through competition and the involvement of private capital. As a result, while increasing the level of technical equipment and level of medical care in hospitals, it also expands the regional differences in the allocation of medical resources and exacerbates the imbalance in public health services. The key points in the adjustment of the reform mentality are: clarifying the government’s responsibilities through legislation, ensuring sufficient investment in public health, public welfare return to public hospitals and the promotion and popularization of medical resources: setting up a system of equipment complementarity and personnel exchanges and establishing a system of medical treatment for underdeveloped areas Resources shall be given to the system of financial subsidies; the proper use of market mechanisms should be taken as a supplementary measure to improve the allocation of medical resources.