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2015年,医改进程仍然举步维艰,基本医疗仍未实现全民覆盖,这既有中国社会历史客观条件的限制,但更多的还是医疗体制改革无法朝着法制化和适度化轨迹发展。归根结底,医改失败的根源是中国上层仍未找到医疗服务在公立化和市场化之间的契合点,逐步实现帕累托最优状态。同时,在法治化的建设上,医改还没有受到完善的规范和引导,这也导致医改困难重重,混乱不堪。本文通过梳理中国医改的始末,基于甘肃省以点及面,结合相关数据深度剖析其中问题,并对中国医改未来走势进行构想,致力于为我国医改找到一条可持续发展道路。
In 2015, the medical reform process is still in a dilemma, and basic medical care has yet to reach universal coverage. This is not only because of the objective conditions in Chinese society and the history of the medical system, but also more so that medical system reform can not move toward legalization and moderation. In the final analysis, the root cause of the failure in medical reform is that the upper-level Chinese still have not found a meeting point between public service and marketization of medical service and gradually realize the Pareto optimality. At the same time, in the construction of legalization, medical reform has not been perfect norms and guidance, which also led to medical reform difficulties, chaos. Based on Gansu Province’s point-by-point analysis and the related data, this article analyzes the problems in the future and envisages the future trend of medical reform in China. It is committed to finding a path of sustainable development for the medical reform in China.