多年来,政府投入不足一直被视为“看病难、看病贵”的主要原因。因此,本轮医改确立了政府主导的基本原则,明确提出要强化政府投入的责任。五年过去了,财政投入是否到位?政府的投入是否缓解了“看病难、看病贵”的问题?监测并评估这些问题,对深化医改十分必要。本文认为,政府目前的三大医疗管制——政策药品价格管制、医生管制、基层医疗机构的行政化管制都存在不当之处,使新医改的许多政策措施难以落到实处,未能取得预期的改革效果,最后对如何走出当前医改的困境提出相关的政策建议。
<<Over the years,the insufficient government investment has been regarded as the main reason for “the difficulty and costliness of medical service”. Therefore,this reform has established the basic government-led principle,and clearly put forward to strengthen the responsibility of the government investment. Five years later,is the financial input in place?Does government spending relieve the problem of “the difficulty and costliness of medical service”?Monitor and evaluate these problems is necessary to deepen the reform. The author believes that the government’s current three medical control policies involving drug price control,doctor control,grassroots medical institutions administrativization control all have inadequacies,and makes it hard for many of the new medical reform policies and measures to implement,finally failed to achieve expected effects. The author put forward relevant policies and suggestions on how to get out of the plight of the current reform.
<<Keywords: | Government ControlDrug Supply SystemDoctor ControlGrassroots Medical Institutions Administrativization |