[1]刘雅娟.我国医药卫生体制改革发展路径分析与思考[J].中国卫生质量管理,2021,28(07):18-21.[doi:10.13912/j.cnki.chqm.2021.28.7.05 ]
　LIU Yajuan.Analysis and Thinking on the Development Path and Future Prospect of the Reform of Medical and Health System in China[J].Chinese Health Quality Management,2021,28(07):18-21.[doi:10.13912/j.cnki.chqm.2021.28.7.05 ]

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我国医药卫生体制改革发展路径分析与思考

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第28卷期数: 2021年07期页码: 18-21 栏目: 医疗质量出版日期: 2021-07-28

Title:: Analysis and Thinking on the Development Path and Future Prospect of the Reform of Medical and Health System in China

作者:: 刘雅娟; 上海申康医院发展中心

Author(s):: LIU Yajuan; Development Center, Shanghai Shenkang Hospital

关键词:: 医药卫生体制改革; 医疗资源; 医疗质量与效率; 分级诊疗; 医保基金; 发展路径

Keywords:: Reform of Medical and Health System; Medical Resource; Medical Quality and Efficiency; Hierarchical Diagnosis and Treatment; Medical Insurance Fund; Development Path

分类号:: R197

DOI:: 10.13912/j.cnki.chqm.2021.28.7.05

文献标志码:: A

摘要:: 围绕“看病难”“看病贵”两大难题，从优化资源配置、推进分级诊疗、提升基层医疗机构能力和加强公共卫生安全等4个方面阐述了医疗体制改革的思路；从降低药耗占比、医保改革、加强医院治理体系建设、发展中医药等4个方面阐述了医疗收支结构优化建议。对我国医药卫生体制改革发展路径和未来发展方向进行了分析，指出各级政府需协力推进医药卫生体制改革不断深入。

Abstract:: Focusing on the two themes of "difficult to see a doctor" and "expensive to see a doctor", the medical system reform measures were elaborated from the four aspects of optimization of resource allocation, promotion of hierarchical diagnosis and treatment, improvement of the primary medical institutions' capacity, and strengthening the public health security. Suggestions on optimizing the structure of medical income and expenditure were expounded from four aspects: reducing the proportion of medicine consumption, reforming medical insurance, strengthening the construction of hospital management system, and developing traditional Chinese medicine. The development path and future direction of China's medical and health system reform were analyzed, and it was pointed out that governments at all levels need to make concerted efforts to deepen the reform of medical and health system.

参考文献/References:

［1］中华人民共和国国家卫生健康委员会.2019年我国卫生健康事业发展统计公报［EB/OL］.（2020-06-06）［2021-04-30］. http://www.nhc.gov.cn/guihuaxxs/s10748/202006/ebfe31f24cc145b198dd73060 3ec4442.shtml. ［2］World Health Organization. World health statistics 2021 ［EB/OL］.(2021-05-20)［2021-05-24］.https://cdn.who.int/media/docs/default-source/gho-documents/world-health-statistic-reports/2021/whs-2021_20may.pdf?sfvrsn=55c7c6f2_3. ［3］World Bank. Hospital beds( per 1,000 people)［DB/OL］.(2021) .https://databank.worldbank.org/reports.aspx?source=2&series=SH.MED.BEDS.ZS. ［4］中华人民共和国国家卫生健康委员会.2020中国卫生健康统计年鉴［M］.北京：中国协和医科大学出版社，2020:15-16. ［5］国家发展改革委员会，国家卫生健康委员会，国家中医药管理局，等.发改社会〔2019〕1670号关于印发《区域医疗中心建设试点工作方案》的通知［Z］.2019. ［6］周奕男，葛慧欣，白鸽，等.松散型医联体运作成效评价和内部博弈分析［J］.中国卫生资源，2020，23（1）：84-87. ［7］冯力，陈校云，张曙欣,等.国外三种区域医疗体系转型方式比较研究及启示［J］.中国卫生质量管理，2019，26（3）：137-140. ［8］健康中国行动推进委员会.健康中国行动（2019—2030年）［Z］.2019. ［9］李怡.新医改形势下公立医院行政人员管理现状与思考［J］.中国卫生质量管理，2018，25（3）:92-95. ［10］国务院办公厅.国办发〔2021〕3号国务院办公厅印发关于加快中医药特色发展若干政策措施的通知［Z］.2021.

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更新日期/Last Update: 2021-07-28