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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>>

    2014年中国医疗卫生事业改革发展报告

    摘要

    2014年新医改进入第六年,从统计数据看,卫生资源总量和服务量持续上升,政府对于卫生投入的绝对量持续增加,个人卫生支出占卫生总费用的比例缓慢下降,医药费用并未得到有效控制,民营医院发展相对较快,但基层医疗机构的资源和服务量上升幅度相对较低。医疗卫生改革的核心是公立医院改革,但仍处于地方试点阶段,尚未形成全国性的改革框架,医改强调“医疗、医药、医保”的“三医联动”,在政策实践领域也开始出现医疗保障配合公立医院改革的内容。要实现改革之初设定的目标,未来必须在药品价格、公立医院医疗服务价格、医疗保障等单项改革和系统协作方面取得突破。

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    Abstract

    In 2014,China’s new healthcare reform has entered its sixth year. The total amount of public health resource and service keeps rising,and the amount of government spending continues to increase,where individual medical expenditure decreases in the total medical expenditure. However,medical spending is not fully under control. Privately owned hospitals experienced fast expanding,but resources and service at the grassroots level are still lower than expectation. The central issue of medical and health reform is public hospitals reform. Currently,public hospitals reform is at its tentative and experimental stage. And most reform plan is carried out at local level without a national framework. The collaboration of three areas—medical treatment,medicine,medical insurance—has led to the integration of medical insurance system and public hospitals reform. However,at the current stage,in order to meet the complexity of the whole medical system,it is necessary to make new progress in medicine pricing,medical service pricing in public hospitals,and medical insurance to implement the initial goal of medical reform for both sub-system reform and the overall reform agenda.

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    作者简介
    房莉杰:房莉杰,中国社会科学院社会学研究所社会政策研究室副主任,副研究员。
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