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我国卫生发展面临的挑战和机遇
引用本文:蔡仁华.我国卫生发展面临的挑战和机遇[J].卫生经济研究,2004(12):10-14.
作者姓名:蔡仁华
作者单位:卫生部卫生经济研究所,北京,100083
摘    要:改革开放20多年来,我国的卫生事业发展取得了显著成效,但也面临严峻挑战:疾病死因构成的变化、人口老龄化的疾病负担加重、卫生投入不足与结构失衡、政府公共卫生支出相对下降、卫生管理体制弊端突出等。因此.在新的历史条件下,要抓住机遇,深化体制改革:推进医疗机构产权多元化改革,修订指导性的“卫生区域”资源配置规划,对医疗机构实行管办分离,公立医疗机构分流转制——“保、扶、放”相结合等。

关 键 词:公立医疗机构  卫生发展  疾病负担  卫生事业发展  卫生投入  死因构成  公共卫生  抓住机遇  产权多元化  流转
文章编号:1004-7778(2004)12-0010-05
修稿时间:2004年10月26

The challenges and opportunities for health development in China
CAI Ren - hua.The challenges and opportunities for health development in China[J].Health Economics Research,2004(12):10-14.
Authors:CAI Ren - hua
Abstract:Great accomplishment in health service has been achieved since the open door policy took effect twenties years ago. However , tough difficulties also exist such as the change of death causes structure, ever - increasing disease burden of aging population, limited health input and structure imbalance, decreasing proportion of public health expenditure paid by government, apparent deficiency in health management system. On the other hand, in the new era, the great opportunities should be grasped and system reform should be deepened. Diverse property rights reform for medical organization should be propelled. The guiding regional resources allocation planning should be revised. Managing and running medical organizations should be separated. Public medical organizations should change their original single system, some will be protected, some will be supported and some will be put into the market.
Keywords:health service  system  health reform  challenge  opportunity  
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