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。

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.