本文回顾了中国医改30年的经验教训,每向前推进一步,都受到整个经济体制改革的巨大而深远的影响,且给医疗改革留下难以弥合的空档。认为面对结出的“看病难,看病贵”苦果。必须破解医改困境,扩大医疗保险的覆盖面,提高公立医疗机构服务水平,增强基本医疗服务的可及性,确保医疗的公平性与公益性。 This paper reviews the experiences and lessons of China’s medical reform over the past 30 years. Each step forward is tremendously and far-reachingly affected by the reform of the entire economic system and left untapable gaps for medical reform. In the face of the conclusion that the “difficult to see a doctor, see a doctor expensive” bitter fruit. It is necessary to break the plight of medical reform, expand the coverage of medical insurance, improve the service level of public medical institutions, enhance the accessibility of basic medical services and ensure the fairness and public welfare of medical treatment.