目录
前言.........................................................……1
一我国社会主义卫生事业发展回眸...........................……4
(--)建国50年来我国卫生事业发展概况......................……4
口当前卫生事业改革与发展存在的主要问题.................……7
曰对我国卫生事业现实国情的分析.....................……16
二社会主义市场经济呼唤卫生事业改革..................……19
(--)市场经济要求合理配置资源....................................……19
曰市场经济要求提高全社会医疗保障程度........................……21
曰市场经济要求改革产权制度....................................……23
四市场经济要求卫生产业化................................……26
田卫生事业发展需要政府调控与市场调节相结合...............……30
三社会主义卫生事业改革的对策与措施..................……33
曰正确认识卫生事业的性质................................……33
曰实施区域卫生规划…，.........................................……35
曰切实转变政府职能................................................……39
四加快医疗保险制度改革步伐....................................……41
田改革医疗机构管理体制和运行机制..............................……44
因开放医疗卫生市场................................................……47
旧完善卫生经济政策................................................……50
主要参考文献.........................................................……54
【摘要】 卫生事业改革是我国改革开放和现代化建设事业的重要组成部分，是社会主义文化建设和社会主义精神文明建设的重要内容，从广义上讲，也是有中国特色社会主义实践的一个重要方面。改革是社会主义发展的根本动力，也是推进卫生事业健康发展的根本动力。卫生事业改革是在中国经济体制改革和经济社会发展的大背景下进行的，这就要求卫生事业要通过改革，建立起与社会主义市场经济体制相适应的新的卫生体制。 我国的卫生体制是几十年计划经济条件下形成的。从八十年代初开始，卫生事业虽然进行了一些改革探索，但是尚未触及其深层次的矛盾和问题。诸如卫生事业多头管理，条块分割；资源配置不合理，城市相对过剩，农村严重不足；在城市，省、市级医疗卫生单位资源过剩，基层社区卫生资源严重匮乏；医疗卫生机构重复设置，无序竞争，资源浪费；医疗保险制度不健全，社会保障覆盖面小，基本医疗卫生保健缺乏公平性；卫生费用增长过快，国家财政和职工不堪重负；卫生法规不健全，执法软弱乏力，医疗秩序混乱；公立医疗卫生单位法人自主权极小，管理体制和运行机制缺乏活力；产权不明晰，公立医疗机构垄断市场，缺乏有效的竞争机制；卫生服务总体质量下降，效率不高，难以适应不同层次医...
【Abstract】 The health undertakings reform is an important constituent part of reforming, opening-up and the cause of modernizing construction in China. It is the principal content of establishment both in socialistic culture and in socialistic spirit civilization, and broadly speaking, it is also one of the fundamental sections of Chinese characteristic socialistic practice. Reformation is a radical power of developing socialism. At the same time, it is also a main force of promoting healthy development of health undertakings. The health undertakings reform is being proceeded under the background of Chinese economic system reform and economic 硕士毕业论文 society development, so it is necessary that a new health system that may adapt to socialistic market economy system should be built up by the means of reformation. The Chinese health system was founded at the condition of planned economy lasted for several decades. The preliminary research in the health undertakings reform had been done since the early 1980 years. However it had not dealt with the deeper contradiction and problems yet, such as multiple management of medical institutions, isolation and separation of departments; unreasonable allocation of health resources, surplus of urban provincial and municipal medical units but severe shortage in grass-roots communities and rural areas; repeated establishment of medical organizations, inordinate competition, waste of medical resources; imperfection of medical insurance system, small coverage 4 in social guarantee system, unjust basic medical and healthy system; fast increase of medical expenses not to be afforded by the state finances and the individuals; imperfection of the laws and regulations of health and impotence of executing the law, disorder of medical status; absence in the right of acting on one抯 own for the law persons of public medical units, deficiency of vigor in the management and administration system; unclearness of property right, market monopoly of public medical institutions and lack of effective competition system; decline of health services quality as a whole, low efficiency of management and so on. All these problems, even present health administration system to some extent, not only severely obstructed the setting-up and perfection of social guarantee system, but also had a negative influence on the establishment of socialistic market economy system. As for the problems mentioned above, the present situation s
