鼓励医疗服务模式创新引领医疗体制改革.doc

鼓励医疗服务模式创新引领医疗体制 改革 朱恒鹏 中国社会科学院经济研究所 摘要： 城乡居民医疗服务需求口趋多样化和差异化。医疗行业的传统事业单位体制以及 人事制度，使得医疗服务供给格局无法随城乡居民需求的变化而及时调整。医疗 服务体系改革的关键是尽快建立适合医疗卫生行业的人事薪酬制度，扫除医疗 行业人才自由流动的制度性障碍，将医牛由单位人转型为社会人，同时放开医 生开办医疗机构的自主权。鼓励创新，发展以互联网医疗为代表的新型医疗服务 模式，倒逼传统医疗体制改革，建立分工分类的医疗服务体系，实现屮国医疗 服务体系的“弯道超车”，促进中国健康产业实现跨越式发展。 关键词： 新型医疗服务模式;分级诊疗体系;人力资源配置机制; 作者简介：朱恒鹏，中国社会科学院经济研究所北京市月坛北小街2号100836 电子邮箱:zhuhp@cass. org. cn。 Leading a Reform on Medical Care System by Encouraging Innovation on Medical Service Pa/tterns Zhu Hengpeng Institute of Economics, CASS; Abstract： Demands for medical care by rural and urban residents are becoming increasingly various and customized. The conservative public institutions of medical care and their personnel system have limited the improvement of medical services to meet the changing requirements of the people. The key to reforming the medi cal care system i s to establish an appropriate pcrsonncl and salary and reward system, diminating systcmatic barriers that obstruct the flow of talent in the industry. Medical professionals do not belong to public institutions, and they should be given authority to open up private medical institutions. Innovation should be encouraged. We should develop new types of medical services such as internet-based medical care, forcing traditiorml institutions of medical care to reform. We should categorize the medical care system in details. China，s medical care system should catch up with their international counterpart in the period of transformation, and China s health industry will be bolstered to make major progress. Keyword： New Types of Medical Service; Tiered Medical Services; System of Allocating Human Resources; 随着社会经济发展和国民生活水平提高，全社会对I矢疗服务模式和健康保障模 式的要求也在发牛日新月异的变化。中国城乡居民对医疗服务和医疗保障的需求 已经从要求“有”过渡到要求“好”的阶段，即从过去要求可及性走向要求品 质阶段，服务需求越來越呈现多样化、个性化和差异化特征，传统的医疗服务体 系已经不能适应需求变化。近十多年来，城乡居民对“看病难、看病贵”的不满, 以及愈演愈烈的医患冲突，正是这个领域体制改革滞后于人民群众需求变化， 致使供需错配日益严重的结果。各级政府投入巨大的人力、物力、财力进行医改, 却始终未能取得明显成效，则反映了改革没有找准抓手，未能找准突破口。 中国医疗服务体系存在的问题 从最直观的角度讲，中国I矢疗服务体系最明显的问题是城乡居民普遍反映“看