The nation has put forward setting up a harmony society, and the medical system's reform has to be also mutually consistent with the main trend of social development. Our country is now placed in the studing and trying stage of the reform methods, which are for the new round of medical reform. Whether it can make public satisfied or not would effect the social harmony and stability, as well as the sustainable development. This thesis commences from the present condition of our urban medical system, analises it's problems and related reasons, and finally finds out the feasible paths for the reform through deeply studing the focus of the reform.This thesis defines aims of the reform firstly. The aims are to achieve equality of opportunities for medical treatment, reasonable distribution of medical resources and improving the health level, which would guide the scope and direction of the reform. Our urban medical treatment system has once experienced several adjustment from the period of planned economy. The coverage scope of medical insurance system, the allocation of medical treatment resources, related expense management...etc.are not perfect currently. The government has changed the system several times, but never maked everyone all satisfied in the society. There are many reasons for that, such as inadequate input that the government gives to the medical field, little charging strength, confusion of medicine market order and no sound of the basic medical insurance system for urban residents. All that make medical expense hold an invalid control and the public medical treatment lack a necessary guarantee system.This article combines advanced management theories of foreign medical field, looks back our special urban reform processes and makes use of Antinomy analysis methods to analyse difficult problems urban medical system's reform faces to. It discusses the government role in the medical field and how the government and the market can develop respective advantages, then considers that medical treatment organizations need to head for the market transition filled with management and the government and the market need to cooperate with each other.System's reform of the urban medical treatment had better to commence from both side of the medical service, supplyer and demand side, improve the construction of basic medical service system, increase government input to medical field, strengthen the charging ability, divide responsibility scopes of the government and the market in medical field correctly and improve basic medical insurance system and the methods of payment of medical expenses.A new round of medical reform doesn't require to go back to the old system that the government pays for everything. In the context of the market economy, depending on the government completely would make the government out of order. Feasible ways are to partly open the medical market to the private, taking advantages of market operation, actively promoting the service competition, reasonable pricing, to divide responsibility scopes of the government and market, to make the two parts complete each other and cooperate with each other, using economy, politics, social management and other means to adjust and perfect the medical system continuously. That would betterly meet various medical demands of all classes in the society, carry out the effective management of medical treatment field and finally provide everyone to possess a basic medical service. |