理顺医疗管理模式 发挥宏观调控机能——关于医疗行业配套改革的思路与探讨

改革开放以来,医疗保健服务明显改善,但也存在一些问题,究其根本原因,在于我国现行医疗体制和制度方面的问题。本文就医疗行业的配套改革探讨了总体思路:1.建立基本医疗保障与市场机制并存的管理体制;2.完善基本保障和市场需求互补的供求模式;3.实行基本医疗保障与市场需求的价格双轨制;4.健全政策法规与舆论监督相结合的管理运行机制。

On Complete Sets of Reform Measures of Health services

For promoting primary medical security or primary health care (PHC), market mechanism, their coexistence, parthership and complementation, relevant efforts, to he unproved and developed as the reform process continues, will be far reaching in range, complexity and henefits, and now may include: re - examine cost - effective procedures and practices with proven health effects, to make it easier for general practitioners (CPs) to use them in primary care office setting; dynamic flexibility, consistency, initiatives to enable professions to develop appropriate expertise effectively; improve and implement macro regulation according to what kinds of balances between centralisation, delegation, and devolution are expected to develop; across the PHC - market divide, explore, rationalize, practise double - track price system; conduct researches as to what are the needsand demandsof servicesclients, whetherancltowhatextentreformmeasuresimprovequahty, cost - effectiveness, efficiency, and benefits.