论我国的医疗卫生体制改革一一以解决“看病贵.看病难”问题为视角摘要上世纪八十年代开始的医疗体制改革已经走过了二十年的历程，改革的成果不容否认，但改革过程中出现的种种问题更不容忽视。戻疗体制改革过程出现的问题集中表现为“看病贵、看病难”问题，这一问题极大影响了人民康的保障,影响了社会主义和谐社会的构建。然而，造成“看病贵、看病难”问题的原因是多元的，关于问题的成因，有两种较为普遍的观点，一种观点认为种种问题均是“市场化之过”，认为我应部分恢复计划经济时代的制度,实行公费医疗体制。另一种观点认为市场不是问题的源头，政府主导不力才是真正的原因。笔者认为既不应完全否定场的作用，也不应完全否定政府的作用，要解决“看病贵、看病难”问题，需要走一条政府有效管理下的规范的市场化之路。本文首先介绍了我国“看病贵、看病难”问题的现状及问题的由來，进而探寻此问题的成因，在明确问题成因后致力于问题的解决。在解决问题的过程中，木文介绍了国际医疗体制的类型与改革趋势,试图借鉴国际经验，以推动我国医疗体制的改革与发展。考虑到我国与西方各国国情的不同，而各国医疗体制改革乂有相通之处，所以木文的理论基础分为舶来理论和木土理论两部分，尤其是本土理论以构建社会主义和谐社会为基础，体现了中国特色。文章的最后一部分为对策建议，分为市场化如何进行和政府如何发挥主导作用两方面。总Z,“看病贵、看病难”问题不是一朝一夕形成的，其原因是多方面的，要解决这一问题必须在政府主导的前提下动员全社会的力量,长期不懈的努不断完善医疗服务市场，唯有如此人民群众的健康才能有所保障，和谐社会构建才能顺利进行。关键词：看病贵;看病难;I矢疗体制；市场机制;政府主导2AbstractThereformofmedicalandhealthsysteminChinahasbeenonitswayforabouttwentyyearssince1980s.Thoughthereisnodoubtabouttheachievementsofthereform,wecan?tneglecttheproblemscomingwithit.Peoplefocuseson"thedifficultyofgettingmedicalserviceandthehighcostofgettingmedicalservice"andtakeitasthemostimportantprobleminthereform.Thisproblemeffectsguardingpeople"shealthandestablishingtheharmonioussocietyHowever,thereasonfortheproblemiscomplicated.Therearetwocommonopinionsaboutthereason.Oneopinionconsidersthatintroducingthemarketmechanismisthecauseofalltheproblems.Theotheropinionconsidersthatthelackofastronggovernmentistherealreason.Thewriterconsidersthatit，sunsuitabletodenyncitherthefunctionofthemarkctnorthefunctionofthegovernment.ItisnecessarytosolvetheproblemthroughintroducingthemarketmechanismundertheeffectivemanagementofthegovernmentThisthesisfirstintroducestheprosentsituationandthehistoryof"thedifficultyofgettingmedicalserviceandthehighcostofgettingmedicalservice",thensearchingthereasonsforit.Afterfindingoutthereasons,thethesispointstosolvetheproblem.Duringfindingthewaydealingwiththeproblem,thethesisintroducestypesofthemediceilsystemintheworldandthetendencyoftheirreforminordertodrawlessonsfromthem.Althoughtherearesomethingincommonbetweenourcountryandthewesterncountries,therearemanydifferencesbetweenthem.SotheauthorbuildsthethesisonboththetheorywithChinesecharacteristiesandthetheoryfromothercountries.Establishingharmonioussocietyofthesocialismisthemostimportanttheoryinthisthesis.Thelastsectionofthethesisisaboutthesuggestiontodealingwiththeproblemincludinghowtointroducethemarketmechanismandhowtobuildastronggovernment3A11inall,“thedifficultyofgettingmedicalserviceandthehighcostofgettingmedicalservice"hasnotbeenformedinashortperiodoftime.Thereasoniscomplicated.Itisnecessarytomobilizethewholesocietywiththeconductionofthegovernmenttoimprovethemedicalservicemarketoveralongperiodoftime.Onlyinthisway,i...