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医疗服务作为人类健康保障的必需品,其公共属性和体制改革一直是人们讨论的话题。改革开放以来,我国医疗体制发生了重大变化,但改善百姓“看病难、看病贵”局面却收效甚微。全盘公医或是市场化?如何走出医疗改革困境,实现“人人享有卫生健康保障”这一目标?我们还需很长的路要走。本文从明确医疗服务的性质出发,在分析我国医改的基础上找出医疗改革市场化失灵的表现及原因,进而提出处理好政府与市场的关系的可行性建议,以期从公共管理学的角度就医疗卫生体制改革进行有效的探讨,提供具有现实意义的解决思路。
As a necessity of human health protection, medical service has always been the subject of public attribute and institutional reform. Since the reform and opening up, China’s medical system has undergone major changes, but improving the people “difficult to see a doctor, expensive doctor ” situation has little effect. How to get out of the plight of medical reform and achieve the goal of “ensuring health and safety for all”? We still have a long way to go. Based on the analysis of the medical reform in our country, this paper finds out the causes and the causes of the marketization failure of the medical reform, and then puts forward the feasible suggestion to handle the relationship between the government and the market. With a view to public administration, Medical and health system reform to effectively explore and provide practical solutions to the problem.