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为了了解城市居民对医疗保健制度改革的看法,笔者对有关问题作了社会调查。结果表明,大多数被调查者都认为现行的医疗保健制度存在着服务的质量差,浪费严重、分配不公等问题,必须进行改革。改革的目标应当是更好地为人民群众的健康利益服务。根据这一目标,结合我国的实际情况,借鉴国外的一些经验,推行医疗保险制度是可能的,也是必要的。目前,国内一些城市的试点实践已经证明了这一点。然而实行医疗保险制度也有这样或那样的难题,如投保比例,医疗费用结算方式等,这需要我们作进一步深入的研究,逐步加以解决。
In order to understand the urban residents’ views on the health care system reform, I conducted a social survey on the relevant issues. The results show that most of the respondents think that the current health care system has poor service quality, serious waste and unfair distribution, and must be reformed. The goal of reform should be to better serve the health interests of the people. According to this goal, combined with the actual situation in our country and drawing lessons from some foreign experience, the implementation of the medical insurance system is possible and necessary. At present, some pilot cities in China have proved this point. However, the implementation of the medical insurance system also has one or more problems, such as the proportion of insurance coverage and the settlement of medical expenses. This requires further study and gradually resolution.