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基于价值和价值伦理理论,认为我国医药卫生体制改革现阶段存在注重住院服务数量而非医疗服务质量、以医院为中心而非各类卫生机构密切配合、激励机制不当等三方面的问题。我国下一步医改应努力同时实现三个价值目标:提高人民健康水平、提供优质的医疗服务和服务体验和医疗卫生费用可负担。为实现上述三个价值目标,文章从提供“一体化服务”、转变医院功能定位、改变激励机制、持续改进医疗服务质量和增强公众参与五个方面提出了建议。
Based on the theory of value and ethics of value, it is considered that the current reform of the medical and health system in our country focuses on three aspects: the number of inpatient services rather than the quality of medical services, the hospital as the center rather than the close cooperation among various health institutions and the improper incentive mechanism. The next reform of medical treatment in our country should strive to achieve the three objectives of value at the same time: to improve people’s health level, to provide high-quality medical service and service experience and to make medical and health care affordable. In order to achieve the above three goals of value, the article puts forward suggestions from the aspects of providing “integrated services”, changing the orientation of hospital functions, changing the incentive mechanism, continuously improving the quality of medical services and enhancing public participation.