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现在的医疗卫生改革走入困局,根源在于它的基本方向有问题,医改不能走市场化的道路。基于医疗卫生事业的特殊性,无论是基本保障目标选择还是医疗卫生的干预重点选择,靠市场都无法自发实现合理选择,必须强化政府职能。如果中国医疗卫生体制改革的市场化倾向得不到有效遏制,后果将不堪设想。因为只要医疗服务机构走向全面市场化,医疗卫生服务体系的布局及服务目标偏离问题就不可避免;竞争无法保证医疗服务价格降低,也早已被各国的实践所证明。在此前提下,政府补贴需方和购买服务不仅无法保证医疗卫生服务体系的
The current medical and health reforms have entered a dilemma. The root cause is that there are problems in its basic direction, and medical reform cannot take the path of marketization. Based on the particularities of the medical and health industry, whether it is the selection of basic protection goals or the intervention of medical and health interventions, it is impossible to rely on the market to achieve reasonable choices and must strengthen government functions. If the marketization trend of China’s healthcare system reform is not effectively contained, the consequences will be disastrous. Because as long as the medical service organizations are moving toward full-scale marketization, the layout of the medical and health service system and the deviation of service goals are inevitable. Competition cannot ensure that the price of medical services is reduced, and it has long been proved by the practice of various countries. Under this premise, government subsidy demand and purchase services not only cannot guarantee the health care system.