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深入推进医改,需要盘点目前试点中出现的误区,厘清改革的逻辑问题,以期成功跨越医改深水区。系统性是医改成功的基础从微观角度分析:医疗服务体系系统性问题是实现有序就诊。而分级诊疗、急慢分治是解决群众看病难、看病贵问题的必然条件。实现有序诊疗的途径有3种形式:制度强制(欧美传统主流)、价格杠杆(新近改革手段)、产业组织(中国未来)。
To further promote the medical reform, it is necessary to take stock of the erroneous areas that appear in the pilot program and clarify the logic of the reform so as to successfully cross the medical reform to the deep-water area. Systematicity is the basis of success of medical reform From the microscopic point of view: the systemic problem of medical service system is to achieve orderly treatment. The grading diagnosis and treatment, quick and slow divide and rule the masses is difficult to see a doctor, the necessary conditions for expensive medical problems. There are three ways to achieve orderly treatment: system compulsion (traditional European and American mainstream), price leverage (new reform methods) and industrial organization (China’s future).