›› 2013, Vol. 33 ›› Issue (6): 707-.doi: 10.3969/j.issn.1674-8115.2013.06.002

• 专题报道(卫生系统研究) • 上一篇    下一篇

中国医药卫生体制改革的主要政策分析

侯佳乐1, 马 进2   

  1. 1.上海社会科学院 城市与人口发展研究所, 上海 200020; 2.上海交通大学 公共卫生学院, 上海 200025
  • 出版日期:2013-06-28 发布日期:2013-06-28
  • 通讯作者: 马 进, 电子信箱: majin@shsmu.edu.cn。
  • 作者简介:侯佳乐(1989—), 男, 硕士生; 电子信箱: houjiale322@gmail.com。
  • 基金资助:

    上海市公共卫生重点学科建设项目(12GWZX0601)

Analysis of main policy of health system reform in China

HOU Jia-le1, MA Jin2   

  1. 1.Institute of Urban and Population Development Studies, Shanghai Academy of Social Sciences, Shanghai 200020, China; 2.School of Public Health, Shanghai Jiaotong University, Shanghai 200025, China
  • Online:2013-06-28 Published:2013-06-28
  • Supported by:

    Shanghai Public Health Key Discipline Construction Project, 12GWZX0601

摘要:

目的 分析近年我国医药卫生体制改革的主要政策,并探讨未来发展路径。方法 应用文献调研和政策分析法对近年来的主要医疗改革政策进行分析研究。结果 政府定价仍占主导地位,是价格机制失效的根本原因所在。从16个试点城市的进展情况来看,目前在体制和机制改革上并没有取得明显突破。结论 建立基于各利益方协商谈判的医药价格形成机制,而非单纯依靠财政补贴是解决以药养医问题的切实可行的方法。公立医院改革的出路在于实现医疗资源的社会化。

关键词: 医药卫生体制改革, 政策分析, 药品调价, 公立医院改革

Abstract:

Objective To analyse the main policy of health system reform in China in recent years, and explore the development path in future. Methods The methods of literature review and policy analysis were employed to study the main policy of health system reform in China in recent years. Results Government pricing played a dominating role, which was the fundamental cause for the ineffectiveness of price mechanism. The findings from 16 pilot cities indicated that the reform of public hospitals had not made a significant breakthrough. Conclusion It would be a practical way to establish the mechanism of medicine price formation to solve the current problem, and the key to reform of public hospitals lies in the socialization of medical resources.

Key words: health system reform, policy analysis, drug price adjustment, public hospital reform