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医药卫生体制改革的中国之路

China's Journey in Health System Reforms

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今年是实施新一轮深化医改方案的第15 年,党的二十届三中全会作出关于进一步全面深化改革、推进中国式现代化的决定,明确了2024-2029 年深化医药卫生体制改革的重点任务,其中包括促进医疗、医保、医药协同发展和治理等内容.要在解决医改这个世界性难题的过程中走出中国道路、贡献中国智慧,既需要理论指导,也需要实践探索,更需要制度创新.在梳理医改相关问题的基本概念和分析框架的基础上,从不同阶段的主要目标和手段两个方面,总结新中国成立以来医药卫生体制的历史发展沿革,分析未来 5 年深化医改的重点难点问题,并提出有一定针对性和创新性的政策建议.
This year marks the 15th anniversary of the New Round of Healthcare Reforms.The Central Government of China just announced series of policy decisions on carrying out comprehensive reforms to help with the process of Modernization with Chi-nese characteristics,including initiatives of deepening healthcare reforms,which shall be implemented between 2024 and 2029.Im-proving health system performance via reforms,a worldwide issue,China needs innovation in theories,practice and systems,for developing effective solutions to address special problems within China's socioeconomic context.This article first clarifies important concepts and analytical framework pertaining to healthcare reform research studies.Then,we discuss evolution of the Chinese health system since founding of the PRC.We conclude with an exploration into relevant policy recommendations for better dealing with some of the major contemporary issues underpinning China's healthcare reforms.

Health System ReformKey ConceptEvolutionPolicy Proposal

刘远立

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北京协和医学院卫生健康管理政策学院,北京,100193

医药卫生体制改革 基本概念 历史沿革 政策建议

2024

医学与社会
华中科技大学同济医学院

医学与社会

CSTPCDCHSSCD北大核心
影响因子:1.178
ISSN:1006-5563
年,卷(期):2024.37(12)