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中国医改被认为基本失败的主要根源是理论基础错误,即医改是以卫生经济学为理论基础和指导原则。中外各国医改实践经验教训和现代福利制度发展普世规律证明:正确的医改理论基础是卫生财政学与福利财政学,而非卫生经济学。卫生经济学与卫生财政学存在诸多本质区别。卫生财政学学科视角以国家责任为主题,聚焦国家健康照顾的责任承担,是深化医药卫生体制正确的理论基础。中国医药卫生体制改革实质是建立中国特色现代卫生财政体制,精髓是科学合理划分国家、医方、患方、社会健康照顾责任,关键是建立福利性质、公平、可负担和可持续卫生筹资与支付体系。卫生财政学是中国医改实践的理论创新和中国智造,为全球医改实践提供正确的理论基础。
The main cause of the fundamental failure of China’s medical reform is that it is based on the theory that the medical reform is based on the health economics as the theoretical basis and guiding principle. Experiences and lessons of medical reform in various countries in China and abroad and the development of modern welfare system The universal law proves that the correct medical reform theory is based on health finance and welfare finance instead of health economics. There are many essential differences between health economics and health finance. Health finance science perspective from the perspective of national responsibility, focusing on national responsibility for health care commitment, is to deepen the medical and health system, the correct theoretical basis. The essence of medical and health system reform in China is to establish a modern health financial system with Chinese characteristics. The essence is to scientifically divide the responsibility of taking care of the health of the country, the medical community, the patients and the community. The key is to establish a fund of welfare, fairness, affordability and sustainable health financing and payment system. Health finance is a theoretical innovation in China’s medical reform practice and China’s intellectual property, to provide the correct theoretical basis for the practice of global medical reform.