CAJ | 학술논문

建国以来，我国医疗管制及其制度体系一直处于不断改革和完善之中，经过了计划经济体制下行政性管制阶段、管制改革起步阶段、管制改革深入展开阶段、管制改革调整创新阶段。其发展路径是：直接行政管制→放松管制→强化管制。尽管遵循了不一样的制度逻辑，但都出现了各自的制度困境。因此应建立以健康为目标的“管制一竞争”模式，以提高医疗政府管制的有效性。
건국이래，아국의료관제급기제도체계일직처우불단개혁화완선지중，경과료계화경제체제하행정성관제계단、관제개혁기보계단、관제개혁심입전개계단、관제개혁조정창신계단。기발전로경시：직접행정관제→방송관제→강화관제。진관준순료불일양적제도라집，단도출현료각자적제도곤경。인차응건립이건강위목표적“관제일경쟁”모식，이제고의료정부관제적유효성。
Ever since the founding of new China, the medicare institution and regulations have been in constant imp ovement, through the state planned economy, reform, and creativity models. In another word, the cevelopment process is called direct, loose and enforced administration. Dilemmas come into be- ing with the diversified systems. This paper concludes in a health-based or a regulation-competition mode of medicare reforms.