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王伟光
    男,汉族,1950年2月出生,山东海阳人。1967年11月参加工作,1972年11月加入中国共产党,博士研究生学... 详情>>
李 扬
    1951年9月出生,籍贯安徽,1981年、1984年、1989年分别于安徽大学、复旦大学、中国人民大学获经济学学... 详情>>
李培林
    男,山东济南人。博士,研究员,中国社会科学院副院长,中国社会学会副会长,中国社会科学院社会学研究所副所长。《社会... 详情>>

    2013年中国医疗卫生事业改革发展报告

    摘要

    2013年是新医改的第五年,从统计数据看,国家对卫生领域的投入进一步加大,各级医疗机构的医疗资源和服务量都有很大增长,但是医疗费用的上涨依然迅速,“看病贵”问题仍未得到有效解决。从医改进展看,民间资本办医得到较大支持,民营医院发展迅速;基层卫生服务体系的改革效果并不理想,目前的发展方向并不适应“首诊在基层”和服务模式的转变;公立医院改革初步展开,既有一定进展,也面临很多不确定性;医疗保障尽管保障面和保障水平持续扩大、提高,但仍然面临不可持续性风险。未来寄希望于“政府主导”与“市场机制”的更好结合,以及通过“全科医生制度”的实施,转变基层的健康服务模式。

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    Abstract

    By 2013, China's new healthcare reforms have been launched for five Years. From statistics, the input and spending on the area of medical and healthcare keeps increasing; and all levels of medical institutions and services have been improved greatly. However, the rising trend of medical expense is still significant, which poses substantial burden to average patients. From the perspective of current healthcare reform, private capital has been supported by various policies, and the scale of private hospitals expands beyond expectation. However, we have to admit that it is far from satisfactory for the reforms at primary-level medical and healthcare institutions, and the mode of "first doctor visit at primary-level medical institutions" is not compatible with the contemporary reform direction. The public hospitals reform is also at the preliminary stage where many uncertainties and challenges are ahead of the reform agenda. The healthcare security system is improved greatly in terms of its coverage and magnitude, where there is still uncertainty from the perspective of its sustainability. In the future, it is urgent to integrate the government-oriented mechanism and the utility of market, and improve "comprehensive doctor system". At the same time, it is important to transform the mode of primary medical and healthcare institutions. <<
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    作者简介
    房莉杰:博士,毕业于中国人民大学社会学系,中国社会科学院社会学研究所副研究员,社会政策研究室副主任。曾在伦敦政治经济学院和联合国社会发展研究所(UNRISD)访学。研究方向为卫生政策、老年政策、社区发展等。
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