关于看病难根源探究及对策探究.docVIP

关于看病难根源探究及对策探究 　【摘要】 中国医疗卫生体制的改革正处在十字路口。总体来说，20多年来的医疗体制改革是不成功的，这集中体现在医疗费用的超常快速增长、医疗费用负担不公平、低收入人群医疗可及性普遍下降、医疗服务水平改善幅度有限等。医疗体制改革成功与否的最重要标志就是接受医疗服务的群体满意度，“看病难、看病贵”体现的是公众对医疗服务的极度不满。“看病难、看病贵”是医疗领域中爆发的最为严峻的问题，虽然这个问题根植于医疗领域，但是产生问题的根源是多方面的，包括医疗领域内部和其外部。医疗行业是社会保障系统中的一个子系统，公众的健康满足是社会保障的重要目标之一。探究问题产生的根源是解决问题的前提条件。因此，笔者从分析问题的根源入手，进一步寻求解决问题的具体对策。 【关键词】 看病难；根源分析；对策措施 【Abstract】 Chinese reforms on its medical health system are at the crossroad. Generally speaking, the reforms on this system ongoing in recent over 20 years are not sucessful. The fundamental syndromes like excessively fast increasing medical expenses, unfair medical cost burdens, poor availability of medical treatment for low-income groups and little improvement on medical service are accompanied. The most important indicator to test whether the reforms on the medical treatment system are sucessful comes to the satisfaction degree of our people who get medical treatment. The hardship and expensive to seek medical care shows the extreme unsatisfaction of the public, which can be the most critical problem the medical field has exposed. Though this problem gets rooted in the medical industry, the causes resulting in it are varied inside and outside in the industry. As the subsystem of the overall social security system, it requires that catering to the public health demand is one of prominent goals the social security should achieve. Exploring the root causes of the happening of the problem always provides the premise to solve it. Therefore,here we start by digging out the root causes of the problem further to find out the specific counter measures to get rid of it. 【Key words】 the hardship to seek medical care；studies on root causes；counter measure 根据卫生部2005年有关统计数据，近8年来，医院人均门诊和住院费用平均每年分别增长13%和11%，大大高于居民人均收入增长幅度。2003年与2000年相比，卫生部门管理的医院院均诊疗人数下降4.7%，但院均收入却增长了69.9%。其中,财政补助收入增加占医院总收入增加额的9.4%,医疗收入增加占医院总收入增加额的49.8%，药品收入增加占医院总收入增加额的38.7%。劳动和社会保障部报告说我国医疗保障覆盖面太小，据2005年年底调查数据：我国目前一年医疗卫生费用总支出近7000亿元人民币，其中60％以上由百姓自掏腰包；在城镇44％的人没