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医疗卫生改革是一个非常复杂的世界性难题。就我国目前情况看,它至少包括医疗保险、医疗机构管理体制和药品生产流通体制三大方面。这三方面还各有子系统,比如:医疗保险既包括国家强制实行的基本医疗保险,还有企业的补充医疗保险,以及个人购买的商业医疗保险:医疗机构有公立的,也有民营的,医疗机构里又有营利性医疗机构和非营利性医疗机构。由于改革过程中,有些政策不配套,或者过去对医药卫生体制改革缺乏认识,存在着偏差,出现了一些问题。但不加分类,笼统地说因为市场化导致医改失败,我认为是不对的。
Health care reform is a very complex global problem. As far as the current situation in our country is concerned, it includes at least three aspects of medical insurance, the management system of medical institutions and the system of drug production and circulation. These three aspects also have subsystems, such as: medical insurance, including both the state mandatory basic medical insurance, as well as supplementary medical insurance companies, as well as individuals to buy commercial medical insurance: medical institutions are public, private, medical Organizations have for-profit medical institutions and non-profit medical institutions. Due to the fact that some policies are not compatible with the reform process or there is a lack of understanding of the medical and health system reform in the past, there are some deviations and some problems have arisen. However, I do not think it is right to categorize them categorically. In general, because market-oriented reforms lead to failure of medical reform.