从近年来中国卫生体制改革情况看,经过从基层综改到公立医院改革、从试点县到试点市再到试点省的渐进式改革,卫生服务体系建设得到了明显加强,同时,医疗保险也实现了“全覆盖、保基本”的目标,并且建立了基本药物制度。但是,持续的改革努力和巨额的财政投入,带来的并不是卫生系统绩效的改善和医改目标的实现,反而是更多的利益纷争,老百姓的获得感也不明显。群众日益增长的卫生服务需求与卫生资源不足、医疗保障水平不高之间的矛 Judging from the reform of China’s health system in recent years, the construction of the health service system has been significantly strengthened through the gradual reform from grass-roots comprehensive reform to public hospital reform and from pilot counties to pilot cities to pilot provinces. At the same time, the medical insurance has also been implemented A “full coverage, Paul basic ” goal, and the establishment of a basic drug system. However, continuous reform efforts and huge financial input will bring about not the improvement of the performance of the health system and the realization of the goal of medical reform. Rather, it will bring about more disputes over interests and less obvious sense of common people’s access. Growing population demand for health services and inadequate resources for health care, low level of medical security