过度市场化与分权化--中国医疗卫生改革的双重误区

改革开放以来,我国经济状况不断向好,卫生费用增长很快,然而卫生绩效却不容乐观.本文认为,卫生领域的过度市场化、分权化是问题的主要根源.因此,建议确立卫生支出的政府主导地位,特别要强化中央财政的支出责任,建立不同层级政府间规范的责任分担与资金筹集机制.

Excess marketization and decentralization-the double mistakes in health reform in China

The economical condition was well and health expenditure increased rapidly in China. However, health performance was not optimistic. The author considered that excess marketization and decentralization in health reform were main reasons. So the paper suggested that dominant role of the government in health payment should be established, especially the payment duty of center finance should be strengthened. The mechanism of duty decentralization and financing among the government with different administrative levels should be constituted.