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本文认为我国30年的医疗卫生体制改革未能取得良好效果的关键是政府对医疗领域“市场化”理念理解的失误,是对医改价值目标的定位失误,从而进一步导致医改在选择路径时依赖经济体制改革的路径。医疗产品的这种特性决定医改路径不能简单模仿经济体制改革的路径。医改的新路径是打破路径依赖,跳出制度模仿性同形机制,以“尽最大可能提高全民健康”为医疗机构的价值理念,方有可能取得医改的成功。
This paper argues that the key to failing to achieve good results in 30 years of medical and health system reform in our country is that the government’s mistakes in understanding the concept of “marketization” in the medical field are mistakes in positioning the value of the medical reform and further lead to the medical reform in choosing a path Rely on the path of economic system reform. This characteristic of medical products determines that the medical reform path can not simply imitate the path of economic system reform. The new path of medical reform is to break the path dependence and jump out of the system of imitative sexual homosexuality so as to “maximize the health of all people” as the value concept of medical institutions, and it is possible to achieve the success of medical reform.