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新中国成立以来,医疗市场政府管制的模式及其制度体系始终处于不断改革与完善的过程中,特别是经过改革开放以来的一系列重大变革,中国的医疗管制已经完全不同于计划经济下的行政性全面管理模式。尽管成熟的医疗管制模式及其制度尚未完全确立,但制度的雏形已日趋显现,向“有管制的竞争”模式迈进的步伐正在加快。多年的医疗管制改革及其制度变迁为今后的改革进程带来极为深刻的启示:(1)没有市场竞争机制的医疗服务体系是不可持续的;(2)缺乏政府有效管制的医疗市场是难以为继的;(3)间接管制方式及其相应的管制制度,是规范医疗市场行为,控制医疗费用不合理上升的合理选择;(4)有效的社会性管制制度是实现医疗服务公平与普遍可及性的重要保障。
Since the founding of New China, the pattern of government regulation in the medical market and its system has always been in the process of continuous reform and improvement, especially after a series of major changes since the reform and opening up. China’s medical regulation has been completely different from that under planned economy Sexual and overall management mode. Although the mature medical regulatory system and its system have not yet been completely established, the embryonic form of the system has become increasingly apparent and the pace of progress towards the “controlled competition” model is accelerating. Years of medical regulatory reform and its institutional changes have brought profound insights into the reform process in the future: (1) medical service systems without market competition mechanism are unsustainable; (2) medical markets lacking effective government control are difficult to (3) The indirect control method and its corresponding control system are the reasonable choices of regulating the medical market behavior and controlling the unreasonable increase of the medical expenses; (4) The effective social control system is to realize the fair and universal access to medical services An important guarantee for sex.