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九江、镇江两市医改试点初步成功和57个城市在年内启动运行,标志着我国的医疗保险已基本顺利过渡到“社会统筹和个人帐户相结合”阶段。两江医改试点表明,“统帐结合”模式已经建立,职工基本医疗保障水平有所提高,医药浪费严重现象得到初步控制,医院的行为逐步规范化,但是也暴露出许多问题,如困难企业筹资,社会统筹吃个人帐户,离休人员管理,以及医院内部改革等难题亟待解决。根据国务院有关文件精神和各地改革经验,笔者认为,深化医改必须注意的政策性措施有以下8项:
The successful initial success of medical reform pilot projects in Jiujiang and Zhenjiang cities and the start-up of 57 cities during the year marked the basic transition of China’s medical insurance to the stage of “social pooling and combination of individual accounts”. Pilot projects on medical reform in both rivers show that the mode of “unification of accounts and funds” has been established, the basic medical insurance for workers has been raised, the serious medical waste has been initially controlled, and the hospital’s behavior has been gradually standardized. However, many problems have also been exposed, such as difficult enterprise financing, To co-ordinate to eat personal accounts, retired staff management, as well as hospital reform and other issues to be solved. According to the spirit of the relevant documents of the State Council and the experience of reform in various places, the author believes that the following eight policy measures must be taken to deepen the medical reform: