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。
<<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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