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药价高、就医难,加之医药购销行业和医疗机构的不正之风,种种原因使得医药卫生行业频遭诟病。面对世人的指责、政府体制改革的压力以及即将“入世”所带来的冲击,“身染沉疴”的医药行业怎么办?不可否认,行业有行业的利益、部门有部门的难处、地方有地方的小算盘。值得庆幸的是,世纪之交,整个医药行业正在经历一场比之其他任何领域都毫不逊色、甚而更加波澜壮阔的变革。这场变革既反映了不同利益和观念的冲突与磨合,代表了行业产业化发展方向,也必将为老百姓带来所祈望的福祉。面临各种观念和利益冲突的艰难抉择,这场正处于进退攸关阶段的巨大变革,最需要的是“推一把”。本文试通过对湖南省攸县和天津市药品流通体制改革的调查采访反映这场变革的苦痛与希望。
High drug prices, difficulty in seeking medical treatment, and unhealthy tendencies in the pharmaceutical purchase and sale industry and medical institutions have caused the medical and health industry to suffer frequent criticisms for various reasons. Faced with the world’s accusations, the pressure of government system reform and the impact of the imminent “accession to the WTO,” what should be done in the “pigmented” pharmaceutical industry? It is undeniable that the industry has the interests of the industry and the departments have departments. Difficulties, places and local abacus. Fortunately, at the turn of the century, the entire pharmaceutical industry is undergoing a transformation that is not inferior to, or even more spectacular than, any other field. This reform not only reflects the conflict between different interests and concepts, but also represents the development direction of the industrialization of the industry, and it will surely bring hope for the well-being of the people. Faced with the difficult choices of various concepts and conflicts of interest, this is a major change that is at a stage of advancement and retreat. The most important thing is to “push a hand.” This paper tries to reflect the pain and hope of this reform by interviewing and investigating the reform of the pharmaceutical distribution system in Jixian County and Tianjin City, Hunan Province.