在社会主义市场经济体制条件下,卫生工作改革的难度越来越大,其原因主要在于卫生事业是公益性的社会福利事业,制约因素很多。我们既不能完全进入市场,又不能置市场于不顾。这使得当前卫生改革处于十分尴尬的“两难”境地。如何才能从困境中走出来呢?笔者认为,必须从分析卫生改革与发展的各种关系入手,辩证地加以取舍。 一、增加卫生投入与提高卫生服务 收费标准之间的关系 作为福利性的卫生事业,必须依靠国家投入才能发展,但同时又作为具有公益性的卫生服务,它必须通过集体和个人应尽的义务加以补偿。然而,在投入与补 Under the conditions of the socialist market economic system, the difficulty in the reform of the health work is increasing. The main reason is that the public health undertaking is a public welfare social welfare undertaking, and there are many constraints. We can neither enter the market completely nor ignore the market. This makes the current health reforms in a very “difficult” situation. How can we get out of the predicament? The author believes that we must start from the analysis of the various relationships between health reform and development, and dialectically choose. 1. To increase the relationship between health investment and the increase of health care fee collection standards. As a welfare-oriented health industry, it must rely on national investment to develop, but at the same time as a public welfare health service, it must pass collective and individual obligations. Compensate. However, in the input and complement