摘要
国务院决定用一年时间建立起城镇医疗保险制度，并逐步形成包括补充、商业保险和社会救助相结合的医疗保障体系。这一举措对卫生改革既是有利契机，又是挑战。本文拟从全局、长远出发论述两者在改革中的相互关系。一是以共同目标为最高原则处理两者矛盾，使之协调发展。二是按预防为主原则实现卫生服务一体化，其中特别注意医疗服务一体化，符合群众长远利益。三是借此契机深化医院内部改革，以建立保险制度为契机的改革，应特别注意医疗机构定位，正确认识竞争与协作关系，质量效率同时并重，坚持邓小平卫生部门效益观原则，掌握改革方向。
The State council resolved that the urban medical insurance system should be established within a year and that medical security setups integrating replenishment, business insurance and social relief should be gradually formed. The move provides both opportunities and challenges for health reform.This article discusses discusses from a comprehensive and long-term Perspective the interrelation between the medical insurance System and medical security setups in health reform. Ⅰ)The contrdictions betwen the two shauld be resolved with their common goals as the cardinal principle so as to achieve coordinated growth.Ⅱ)Health services shauld be intgrated in accordance with the PrinciPle of putting Prevention first. Special attention ought to be Paid to the integraion of medical services, thus conforming to the interests of the masses. Ⅲ) Reforms inside hospitals should be deepened by taking advantag of the opportunities offered by the establishment of the medical insurance system, with special attention paid to the orientation of medical institutions and a correct understanding acquired of the relation between competition and coordination. Equal emphasis should be laid on quality and efficiency and the direction of the reform should be kept to, sticking to the principle of emphasizing benefit in health sections, as Put forward by Deng Xiaoping.
出处
《中华医院管理杂志》
北大核心
1999年第4期194-197,共4页
Chinese Journal of Hospital Administration
