医改不只是行业性改革 Medical reform not only trade reform

——《中国新医改：现实与出路》简评 --[China's new medical reform:Reality and way]A brief comment on

　　健康是人们的普遍追求，关系千家万户幸福。深化医疗卫生体制改革，提高医疗卫生公共服务水平，是推动经济社会科学发展、保障和改善民生的重要内容。近年来，我国医疗卫生体制改革深入推进，但也面临许多矛盾和问题。如何认识和看待医改问题？如何进一步深化我国医疗卫生体制改革？如何提高医疗卫生资源配置效率？王虎峰撰著的《中国新医改：现实与出路》(人民出版社出版)一书，结合我国实际，借鉴国际经验，从经济、政治、文化等多个角度对这些问题进行了较为深入的探讨和分析。

Health is the people's common pursuit,Thousands of families relationship happiness.Deepen the medical and health system reform,To improve medical and health level of public service,Is to promote economic and social science development/Guarantee and improve the livelihood of the people the important content.In recent years,In our country medical service organizational reform deepening,But it also has confronted with many contradictions and problems.How to understand and treat medical problems?How to further deepen the medical and health system reform in our country?How to improve medical and health resources allocation efficiency?WangHuFeng compose of[China's new medical reform:Reality and way](People press)book,Combined with the actual conditions of our country,By using for reference the international experience,From the economic/political/Culture and so on many Angle to these problems for a more in-depth discussion and analysis.

　　该书指出，从全球范围看，医改是伴随社会发展的一种常态现象，不是一件可以一劳永逸的事情；不只是行业性的改革，更是全社会的改革，涉及政府职能和管理方式转变、民众健康理念转变、社会环境建设等方面。据作者研究，世界上15个国家110年来先后进行了266次医改，平均每个国家有17.7次，约6.2年发生1次，而且自20世纪70年代以来各国的医改频率明显提高。

The book points out that,From around the world to see,With the development of social reform, is a normal phenomenon,Not a can of things once and for all;Not only the reform of the trade,Is the reform of the whole society,Involves the functions of the government and the management mode change/The public health concept transformation/Social environmental construction, etc.According to the authors study,15 countries in the world for 110 years has been the first time to carry out reform,Average every country is 17.7 times,About 6.2 happened in 1 time,And since the 1970 s national medical frequency obviously improved.

　　该书认为，近年来我国医疗卫生体制改革不断深化，在缓解“看病难、看病贵”方面取得了明显进展，目前已进入“深水区”，迫切需要解决提高资源配置效率、实行精细化管理和提升服务质量等问题。针对这一现实，作者从理论和实际的结合上提出了一些对策建议。例如，在公立医院改革方面，建立“分层协同治理”模式，推动公立医院与非公医疗机构的整合与竞争；在药品生产流通改革方面，促进行业发展，转变政府职能，完善社会管理；在医疗保险领域，构建包括营利和非营利的公共服务平台；等等。

The book that,In recent years in our country medical service organizational reform deepening,In the ease"See a doctor difficult/The doctor your"We have made remarkable progress,At present has already entered"Deep water area",Need to be resolved urgently to improve the efficiency of resource allocation/A fine management and improve service quality problem.In view of this reality,The author from the combination of theory and practice on a number of Suggestions are put forward.For example,In the public hospital reform,To establish"Hierarchical collaborative management"mode,To promote public hospital and medical institutions which and the integration of competition;In the medicine production and circulation reform,Promote industry development,Transformation of government functions,Improve social management;In the field of medical insurance,Constructing including profit and non-profit public service platform;, etc.

　　值得一提的是，该书选择“平民路线”，把对医改的学术研究和深层思考以简明的形式和平实的语言表述出来，注重通过典型案例和人们身边的事例来阐述观点，具有较强的可读性，有助于人们了解和理解医改政策。(王 俊)

Be worth what carry is,The book selection"Civilians route",The cure for academic research and deep thinking with simple form and plain language expression come out,Pay attention to through the typical case and the people side examples to illustrate ideas,Has strong readability,Helps people to know and understand the policy of medical reform.(Wang jun)