当前卫生经济的主要矛盾与改革突破  

Principal contradictions of present health ecomomic and reform measure

作　　者：王克春[1] 凌晶[2] 赵华娟[3] 

机构地区：[1]浙江科技学院经济与管理系,浙江杭州310023 [2]浙江科技学院人事处,浙江杭州310023 [3]浙江省卫生厅规划财务与审计处,浙江杭州310006

出　　处：《浙江科技学院学报》2005年第1期54-57,共4页Journal of Zhejiang University of Science and Technology

摘　　要：20世纪90年代,在医药合业体制下,医疗卫生事业获得巨大发展,充分提高和改善了医疗条件和服务能力。现在,医疗的可得性问题退居为次要矛盾,而在以药养医的医药合业模式下发展起来的医疗卫生事业却逐渐暴露出乱收费、高药价的问题,这些规范性和可及性的问题逐渐变为主要矛盾。这些矛盾已严重阻碍了医疗卫生事业的进一步发展,而医药合业体制就是这些矛盾的根源。医疗卫生事业的发展必须突破医药合业的体制限制,方向就是医药分业。医药分业改革可行的前提条件是,必须在医疗、医药、医保和医疗救助等方面的改革可以综合配套下协调推行。In the 1990's, health care industry got a great development and the medical availability got improved greatly. After that, the problem that the medical availability need to be enhanced becamed secondary contradiction. Inferior regulization and accessibility became principle contradiction in the medicine-drug mixed industry system. All these contradictions are barriers to health undertaking, and the medicine-drug mixed industry system is the source of them. The health undertaking should breakthrough toward medicine-drug seperated industry. Taking medicine-drug seperated industry should conclude reforms to coordinate in medicine-drug system——medical treatment, medicine, medical insurance, and medical security.

关 键 词：医疗卫生事业 医药分业 卫生经济 巨大 以药养医 医保 性问题 体制 发展 改革 

分 类 号：R197[医药卫生—卫生事业管理] R199.2[医药卫生—公共卫生与预防医学]