深圳市罗湖区医改政策分析

区级医改是中国医药卫生体制改革中重要但却经常被忽视的改革环节。2015年以来,深圳市罗湖区依据国家政策导向,结合辖区内的医疗卫生需求与问题,以推进"罗湖医院集团"建设为基本策略,进行了一系列富有成效的改革措施。罗湖区的改革在有利的政策时机和外部条件下,区级政府部门探索创新,走出了一条具有特色的区级医改之路,也体现了区级政府完全可能也应该成为中国地方医改中的一个积极的行动主体。当然,罗湖医改仍在继续,很多改革效果仍待观察,但其改革经验对于其他城市的医改具有重要借鉴意义。

Policy analysis of health system reform in Luohu district of Shenzhen City

Health system reform at district-level is an important but often neglected component in health system reform of China. According with the national policy-strategy guidance and the local health needs and problems within its jurisdiction, Luohu District has taken a series of effective reform measures for promoting a comprehensive reform since 2015, in which the crucial part was the establishment of "LuoHu Hospital Group". The reform in Luohu was initiated by the district-level government under the favorable policy and external conditions. The district government departments explored and innovated, and developed a featured district-level health system reform road. This experience shows that district-level government should be an active actor in the local health system reform in China. The reform in Luohu is still on the way, and more effect is yet to emerge, but the experience is of important reference for the health system reform in other regions/cities of China.