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随着社会主义市场经济体制的建立和完善,医疗保障制度改革已进入了创新阶段。审视我省公费医疗改革走过的轨迹,综合分析改革面临的矛盾和问题,在一个经济不发达省份如何建立医疗保险体系是摆在我们面前的紧迫任务。 一、影响我省公费医疗制度改革的主要制约因素 1.观念制约。计划经济体制下形成并运行了40多年的公费医疗制度,在职工的思想上形成了免费医疗的传统思维定势。通过这几年的改革实践,虽然已经基本冲破了这一思维误区,但到目前为止,还没有从根本上消除公费医疗就是免费医疗思想的影响,由国家、
With the establishment and improvement of the socialist market economic system, the reform of the medical security system has entered an innovative stage. Examine the trajectory of the reform of public medical service in our province, and comprehensively analyze the contradictions and problems faced by the reform. How to establish a medical insurance system in an economically underdeveloped province is an urgent task before us. First, the main constraints to the reform of the public medical system in our province 1. Conceptual constraints. Under the planned economy system, a public medical system that has been established and operated for more than 40 years has formed the traditional thinking of free medical care in the minds of employees. Through the practice of reforms in recent years, although this thinking has basically broken through this misunderstanding, it has so far not fundamentally eliminated the impact of free medical treatment on publicly funded medical care.