社会保障研究
社會保障研究
사회보장연구
SOCIAL SECURITY STUDIES
2009年
1期
34-39
,共6页
医疗卫生事业%矛盾%医改%路径选择
醫療衛生事業%矛盾%醫改%路徑選擇
의료위생사업%모순%의개%로경선택
市场经济条件下医疗卫生事业发展面临五大特殊矛盾.现行医疗卫生体制要解决的首要问题是体制、机制创新问题.公立医院改革和医疗保险体制改革相结合,建立以公益性医院为主题的医疗保险职能和公共医疗服务职能相结合的制度统一、全民覆盖、统筹城乡的新型公共医疗服务保险制度,构建政事分开、管办分开、医保基金管用分开的医疗卫生管理体制,是化解现行医药卫生体制蕴藏的内在矛盾,破解我国医改难题的可行的路径选择.
市場經濟條件下醫療衛生事業髮展麵臨五大特殊矛盾.現行醫療衛生體製要解決的首要問題是體製、機製創新問題.公立醫院改革和醫療保險體製改革相結閤,建立以公益性醫院為主題的醫療保險職能和公共醫療服務職能相結閤的製度統一、全民覆蓋、統籌城鄉的新型公共醫療服務保險製度,構建政事分開、管辦分開、醫保基金管用分開的醫療衛生管理體製,是化解現行醫藥衛生體製蘊藏的內在矛盾,破解我國醫改難題的可行的路徑選擇.
시장경제조건하의료위생사업발전면림오대특수모순.현행의료위생체제요해결적수요문제시체제、궤제창신문제.공립의원개혁화의료보험체제개혁상결합,건립이공익성의원위주제적의료보험직능화공공의료복무직능상결합적제도통일、전민복개、통주성향적신형공공의료복무보험제도,구건정사분개、관판분개、의보기금관용분개적의료위생관리체제,시화해현행의약위생체제온장적내재모순,파해아국의개난제적가행적로경선택.
Under the Market Economy Condition,there are five critical contradictions with the development of the health and medical industry. In present health system, the first problem needed to be solved is the institutional innovation. Combining the reform of public hospitals with the reform of the medical insurance, establishing the new-style system of public medical insurance which combines the medical insurance focused on public hospital with public medical service in order to form a unified, universal coverage, balance urban and rural, building an effective medical and health management system of the separate conduct of public affairs, the management to separate the health insurance fund separate, are practicable route-choice to resolve the present inherent contradiction of the medical and health system and problems of China's medical care reform.
