在当前医疗保险制度改革实施之际,我国中医医院面临许多问题与考验,兹将管见提出如下,以求教于同道。1 存在的主要问题1.1 医疗保险制度改革 今年,我国将对现有公费和劳保医疗制度进行全面改革,建立城镇职工都能获得的低水平、广覆盖、个人帐户和社会统筹相结合的全新医疗保险制度,这是我国市场经济社会保障体制改革的大局,中医医院必须无条件地服从和配合。 医改使中医院面临三个考验:一是“‘低水平’会在一个时期内带来医疗服务需求量的进一步约束和抑制,使医疗服务利用率下降”。我国城镇目前实际年人均医疗费用支出为638元,据有关部门测算,进入个人帐户和统筹的年人均费用不到 At the time of the implementation of the current reform of the medical insurance system, Chinese medicine hospitals in our country are facing many problems and tests. We hereby put forward the following suggestions to seek advice from our fellow practitioners. 1 Existing Main Issues 1.1 Medical Insurance System Reform This year, China will comprehensively reform the existing public expense and labor insurance medical care system, and establish a new type of medical insurance combining the low level, wide coverage, individual accounts, and social pooling that urban employees can obtain. Institutions, this is the overall situation of China’s market economy and social security system reform, Chinese medicine hospitals must obey and cooperate unconditionally. The medical reform has caused TCM hospitals to face three challenges: First, “low-level” will bring about further restraint and suppression of the demand for medical services in a period of time, which will reduce the utilization rate of medical services.” The actual annual per capita medical expenditure in urban areas of China is 638 yuan. According to the calculation of the relevant departments, the per capita annual cost of entry into personal accounts and co-ordination is less than