摘要
中国的医疗体制改革,在改变了原有福利性医疗保障制度的同时,也使得医疗资源配置方式发生了变化。医疗资源不断地向城市、向大医院集中,导致医疗资源形成了倒三角形的配置格局。这种状况势必会影响城乡大多数居民对医疗的可及性和公平性。因此,中国必须对现有的医疗资源配置做出重大调整。本文认为,强化政府在初级医疗卫生领域的配置作用,在一般医疗服务领域市场的配置作用,是提高医疗体系整体运行效率,实现城乡居民医疗可及性和公平性的重要方面。
With the transformation from the welfarism orientation to the price mechanism,the Chinese medical system reform changed the locating way of medical resources and brought an 'reversed triangle'pattern, namely,the bigger the hospital,the more medical resources gather together to,and vice versa. This result is undesirable for the access and fairness of medical services to the people,so it shall be further reformed. This article argue that we shall strengthen greatly the role of government in the basic medical services field and leave the general medical services mainly to market,so that to achieve both aims of improving medical services efficiency and ensuring its fairness.
出处
《东北财经大学学报》
2014年第1期47-53,共7页
Journal of Dongbei University of Finance and Economics
基金
国家社会科学基金项目"中国医疗保障制度的改革对医疗资源配置影响的实证分析"(12BJL032)
关键词
医疗资源
医疗保障
医疗体制
medical resources
medical security
medical system
