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需方体制已经基本走向市场化,而供方体制未能走向市场化,是迄今为止的医改成效大打折扣的根本原因。自1998年中国启动医疗卫生体制改革以来,大方向一直非常明确,即由行政化向市场化方向变革,这顺应了整个社会经济体制向市场经济体制变革的趋势,并与党的十八届三中全会提出的“使市场在资源配置中起决定性作用”的方向高度一致。但是,目前,90%的医疗服务市场仍然由公立医疗机构垄断,而公立医疗机构仍然是计划经济体制下管办不分的
The demand-side system has been basically marketized, while the supply-side system failed to marketization, which is the fundamental reason for the greatly reduced health care reform to date. Since China started the reform of the medical and health system in 1998, the general direction has been very clear, that is, from administrative to market-oriented reform, which is in conformity with the trend of the entire social and economic system reforming to the market economy and is in line with the third The plenum put forward the principle of “making the market play a decisive role in the allocation of resources”. However, at present, 90% of the medical service market is still monopolized by public medical institutions, while public medical institutions are still under the control of the planned economy