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中国医改发展报告(2020)

书 名: 中国医改发展报告(2020)
英 文 名: DEVELOPMENT REPORT ON HEALTH REFORM IN CHINA (2020)
作 者: 梁万年吴沛新中国医学科学院 王辰
I S B N: 978-7-5201-6441-2
丛 书 名: 医改蓝皮书 订阅
关 键 词:  医疗保健制度 体制改革 研究报告 中国 2020
出版日期: 2020-06-01

中文摘要

深化医改是实施健康中国战略的重要举措,是维护人民群众健康、建设小康社会的重要部署。自2009年3月新一轮医药卫生体制改革实施以来,医改的进展和成效始终得到社会各界的关注和重视。医改是世界性难题,既要遵循卫生事业改革发展的内在规律,又要紧密结合中国国情。为跟踪医改进展,客观、科学评价医改成效,中国医学科学院在连续5年编写《中国医改发展报告》年度报告的基础上,组织有关专家、地方卫健委在医改十年的重要时间节点,以2019年医改主要进展和现阶段医改重点领域、重点问题为主要内容,编写本报告,基于事实证据对医改进行客观分析,提出政策建议,为进一步深化医改策略提供有益支撑。

医改十年来,坚持以人民健康为中心,基本建立起覆盖全民的基本医疗卫生制度。党的十八大以来,在以习近平同志为核心的党中央领导下,把人民健康放到优先发展的战略地位,将深化医改纳入国家全面深化改革中统筹谋划、全面推进。2019年,医改突出“一个理念”和“两个重点”,五项基本医疗卫生制度稳步推进,《基本医疗卫生与健康促进法》审议通过,人民健康权利有了立法保障;坚持人民健康优先发展,更加强调公益与公平;遵循“保基本、强基层、建机制”的基本原则和路径;加强基本医疗卫生制度建设夯实全民健康基础,经过各级政府和社会各界的共同努力,医药卫生体制改革取得重大阶段性进展。同时,面临健康风险广泛性、健康优先战略长期性和推进健康中国任务艰巨性等严峻形势,深化医改仍需在大卫生大健康治理构架和制度设计上建立体现公益、科学合理的医疗机构运行新机制,强化“三医”联动等方面统筹布局、精准发力。

本书包括总报告、专题报告和地方经验与案例三部分。总报告在简要回顾医改十年进展的基础上,重点总结了2019年医改进展,并面向2020年和“十四五”规划提出改革推进策略。专题报告围绕现阶段医改重点领域和重点问题,从专家视角进行系统分析,希望能给读者带来启发和思考。地方经验与案例部分选取部分改革进度推进较快且改革成效有所显现的典型地区,对其医改经验进行总结,为推动全国医改向纵深发展提供借鉴和启示。

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