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几年来,在邓小平建设有中国特色社会主义理论指引下,在卫生事业主动适应社会主义市场经济体制过程中,上海市的卫生经济研究逐步深入,取得新的进展。 (一)关于实行医药费“总量控制、结构调整”政策,是近年来卫生经济研究从理论到实践的一项重大进展。 据统计,从1982年到1993年,本市医药费年增长率为31.8％,1993年比1992年增长率更高达51％。而现实的情况是:一方面医药费增长过快,社会难以承受;另一方面医院补偿机制未能理顺,经营仍很困难。针对这种情况,市卫生主管部门进行了大量的调查研究,在市财政,物价等部门支持和市府领导的重视下,于1994年7月1日出台了医药费“总量控制,结构调整”的政策。其具体内容是:
Over the past few years, under the guidance of Deng Xiaoping’s theory of building socialism with Chinese characteristics, the health economic research in Shanghai has been gradually deepened and new progress has been made in the process of health undertakings actively adapting to the socialist market economic system. (1) The implementation of the policy of “total control and structural adjustment” of medical expenses is a major advance in the study of health economics from theory to practice in recent years. According to statistics, from 1982 to 1993, the city’s annual growth rate of medical expenses was 31.8%, and in 1993 it was 51% higher than the growth rate in 1992. The reality is that on the one hand, medical expenses are growing too fast and society is unbearable. On the other hand, the hospital’s compensation mechanism has not been straightened out and the operation is still very difficult. In view of this situation, the municipal health authority conducted a large number of investigations and studies. With the support of the municipal finance, commodity price and other departments, and the attention of the municipal government leaders, on July 1, 1994, the total amount of medical expenses was controlled and the structure was adjusted. "The policy. Its specific content is: