2009年4月,《中共中央国务院关于深化医药卫生体制改革的意见》(以下简称“新医改方案”)发布,同时发布的还有《医药卫生体制改革近期重点实施方案(2009-2011年)》(以下简称《实施方案(2009-2011年)》),中国新一轮医药卫生体制改革(以下简称“新医改”)正式启动。五年来,有关部门出台了几十个与新医改方案相配套的文件,内容涵盖医疗保障、公共卫生、基本药物制度、基层医疗服务体系、公立医院改革、多元化办医、药品招标采购、政府投入、药品生产和流通等多个方面。本报告对新医改的目标、思路与改革的重点进行了梳理,对政府的医疗卫生事业的投入及效果进行了分析,对五项重点改革的进展与成绩进行了总结,对目前改革遇到的挑战进行了分析,对未来的改革路径和突破口提出了意见和建议。
<<In April 2009,The Opinions of the Central Committee of the Communist Party of China and the State council on Deepening the Reform of Medical and Health Care System (hereinafter referred to as “the new healthcare plan”) was published,and released at the same time was The Key Implementation Plan of the Medical and Health System Reform in the Near Future (2009-2011),China’s new medical health system reform (hereinafter referred to as “new medical reform”) was officially launched. For the past five years,relevant departments have issued dozens of documents matching with new healthcare reform,covering medical security,public health,the basic drug system,basic medical service system,the reform of public hospitals,diversified do medical,drug bidding procurement,government investment,medicine production and circulation,and other aspects. In this report,the aim,the train of thought and the focus of the new health care reform are reviewed,the government medical health inputs and effects are analyzed,the progress and achievement of the five key reforms is summarized,and the current reform challenges are analyzed. Opinions and suggestions on the future reform paths and breakthrough are put forward in this report.
<<Keywords: | System ReformTwo Stages of the New Medical ReformFive Key ReformsIdeas and Operation Method of the ReformReform Prospects |