中国医改的“道法术”：战略选择、制度设计与实施机制

【关键词】 卫生保健改革；健康优先发展战略；三医协同发展与治理；医防协同；社会共治

【中图分类号】 R 587.1 【文献标识码】 A DOI： 10.12114/j.issn.1007-9572.2025.0380

【Abstract】 With the continuous increases in residents' health needs and the urgent need to solve the problems of medical treatment， medical reform in China has become a key measure to promote the construction of Health China and improve national governance capabilities. It is of academic and practical significance to systematically sort out the logical framework and practical results of healthcare reform in China. In this study， a logical pipeline of "Tao， Principle and Tactics" was centered on to comprehensively and systematically analyze the strategic choices， system design and implementation mechanism of healthcare reform in China. Briefly， the "Tao" anchored the core concept of health-centered guidance by the Healthy China strategy and the health priority development strategy. The "Principle" promoted the construction of an integrated health system， graded diagnosis and treatment， and public health system by implementing strategies for the coordinated development and governance of the three medical institutions， social governance， medical prevention collaboration， and medical prevention integration. The "Tactics" implemented specific measures like reforming the operation mechanism of public hospitals， strengthening grassroots， cultivating and utilizing talents， and empowering information technology. Healthcare reform in China has made positive progress in financing and payment mechanisms， governance systems and capabilities， service models and efficiency， equity and accessibility. A Chinese plan has been formulated to be a reference for global health governance.

【Key words】 Health care reform; "Health-First" development strategy; Coordinated development and governance of health care， health insurance， and pharmaceuticals; Coordination and integration of prevention and treatment; Social co-governance

我国自20世纪90年代末踏上医改征程，旨在构建覆盖全体城镇职工的基本医疗保险制度，为职工医疗保障筑牢根基［1］。（剩余9610字）