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我国现行的医药制度是在计划管理体制下 形成的,随着经济运行机制的转换,特别是医疗费用由国家统包向三方共负的方式转变,其存在的问题日益突出。主要是:药品管理体制不顺,医疗保险用药无法规范;医药合并经营,医疗费用难以控制;医药价格结构失衡,医疗保险费用约束机制难以建立;预防费用与医疗费用比例失调,医疗保险基金支出结构不合理。为了顺利推进医改,就必须建立起与之相配套的医药制度。
The existing medical system in our country is formed under the program management system. With the transformation of the economic operation mechanism, especially the medical expenses being transformed from the state unified package to the tripartite joint negative, the existing problems have become increasingly prominent. Mainly is: the drug management system is not smooth, the medical insurance drug can not regulate; medical mergers and operations, medical costs are difficult to control; pharmaceutical price structure is unbalanced, the medical insurance cost constraint mechanism is difficult to establish; preventive costs and medical expenses ratio imbalances, medical insurance fund expenditure structure unreasonable. In order to successfully promote the medical reform, we must establish a matching medical system.