新医改形势下看病难看病贵的表现形式根源与对策.pdfVIP

252 Chinese H e lth R esources, N ovember 2010, V ol 13, N o. 6 新医改形势下看病难看病贵的表现形式根源与对策 赵 云 (右江民族医学院管理系, 广西 百色 533000) 看病难看病贵因国家形态历史时期社会 层的不同而呈现不同的表现形式看病难源于医 疗服务供给总量不足与结构失衡; 看病贵源于医疗服务价格的扭曲与医疗保险体系的残缺, 看病难看病贵的 感受差异根源于社会 层的高低解决看病难与看病贵的治本之策是通过公共卫生与健康管理控制医疗服 务的需求; 治标之策是扩大供给总量调整供给结构与提高医疗保险的保障水平与保障范围中国未来的看 病难贵主要体现为特需医疗服务的看病难贵, 必须从特需医疗服务供给与商业医疗保险建设两 个方面加以 解决 看病难; 看病贵; 控制需求; 增大供给 R 197. 1 A 1007953X ( 2010) The type, source and strategy of difficulty and expensive access m edica l care under the situation of m edica l reform ZHA O Yun (F acu lty of M anagem ent, Guangx i Youj iang N a tionality M ed ica l College, B eise, G uangx i, 533000) A bstract D ifferent types of difficult nd expensive ccess he lth c re w ill be effected under the n tion l ch r cters, historic l period nd soci l cl ss. The source of difficult ccessm edic l c re re supply inefficient nd in b l nce of structure, nd expensivem edic l c re due to unre son ble price nd l ck ofm edic l insur nce. The essen ti l str teg ies for mi prov ing those issues b siclly depend on develop public he lth nd he lth m n gement to control m edic l need, it is lso need to exp nd supply, djust the structure nd exp nd the cover ge ofm edic l insur nce. In furture it is needed to develop speci lmedic l services nd commerci lm edic l insur ce. K ey w ords D ifficult ccessm edic l c re; Expensive medic l c re; Control dem nd; Exp nding supply , , , , , , , , , , , 1. 1. 4 : 1 !∀!∀ , 1. 1 从横向对比来看: 不同的国家有不同的表现形式 , GDP 1.