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医疗卫生改革多年来,人们普遍反映“看病难、用药贵”的问题,经相关部门采取种种措施,虽有改进,但收效甚微。1997年1月《中共中央、国务院关于卫生改革与发展的决定》(中发[1997]3号)明确要求“调整医疗机构收入结构,降低药品收人在医疗机构收入中的比重,合理控制医药费用的增长速度,医疗收支和药品收支实行分开核算、分别管理”,指明了深化改革的方向。1998年12月《国务院关于建立城镇职工基本医疗保险制度的决定》(国发[1998]44号)重申中央《决定》
Over the years, the health care reform has generally reflected the problem of “difficulty in seeing a doctor and expensive medicine”. Various measures have been taken by the relevant departments, and although they have been improved, they have had little effect. In January 1997, the Decision of the CPC Central Committee and the State Council on Health Reform and Development (Zhongfa [1997] No.3) explicitly called for “adjusting the income structure of medical institutions, reducing the proportion of drug revenues in the income of medical institutions, and properly controlling medicine The rate of growth of expenses, medical expenses and receipts and payments of medicines are separately accounted for and separately administered ”, indicating the direction of deepening the reform. In December 1998, the “Decision of the State Council on Establishing the Basic Medical Insurance System for Urban Employees” (Guo Fa [1998] No. 44) reiterated that the Central Government “decided”