医疗服务的特殊性决定了完全由市场机制来组织与生产会产生较大的公平及效率问题，而完全由政府筹资与供给则又会导致激励不足、效率低下。中国20多年的医疗体制改革的确不成功，其根源与其说是医疗服务的市场化，不如说是在市场化过程中政府职能的缺位。因此，中国医疗体制进一步改革的战略性选择，并不是放弃市场化、甚至恢复计划经济时代的医疗体制，而是走向有管理的市场化，探寻将国家介入与市场竞争有效结合的新路。%The peculiarity of medical service decided that there will be fair and efficiency problems if we completely organize and produce by market mechanism, and completely finance and supply by the government will lead to low efficiency and lack of motivation. The medical system reform of China's 20 years is not successful. The source is the absence of government functions in the process of marketization. Therefore, the strategic choice of Chinese medical system reform is not to give up the marketization, and even recovering the medical system in the planned economy system era, but to make for the marketization with management, and explore the new way of effective combination of state intervention and market competition.
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