医疗保险改革是一项十分复杂的工作,因此不可能在一开始就有一个“十分完美”的方案,而必须在改革进程中不断探索、不断完善。只有不断总结、提高,方能使方案更科学、更合理,从而更加扎实有效地推进医改。 笔者认为,要搞医改,在当前条件下必须拓宽思路,从全局的高度来规划、设计整个医改工作。具体来说,就是首先从“总量控制、结构调整”入手,搞好医院的改革,为整个医改创造一个良好的外部环境。 “总量控制、结构调整”,从根本上说,是要通过创新机制,促使医疗卫生事业健康发展。医改的 Medical insurance reform is a very complicated task. Therefore, it is impossible to have a “very perfect” proposal from the very beginning. Instead, we must continuously explore and improve continuously in the process of reform. Only by constantly reviewing and improving our programs can we make the programs more scientific and rational so as to promote the medical reform more solidly and effectively. The author believes that to engage in medical reform, under the current conditions must broaden their thinking, from the overall height to plan and design the entire medical reform work. Specifically, we start with “total control and structural adjustment” and do a good job in the reform of hospitals to create a good external environment for the entire medical reform. “Total control and structural adjustment” basically mean to promote the healthy development of medical and health undertakings through innovative mechanisms. Medical reform