医疗卫生企业中有许多观察家视医疗卫生制度方面的改革为换汤不换药。纽约州的许多人却能比较公正,较为恰如其分地看到积极的方面。认为改革有重大改进,但也出现新的问题;较大的困难被克服,仍然存在一些困难。 1975以来,纽约州制订了三项政策措施,一是1975年—1982年的限制价格以紧缩财政;二是预付制度执行到1985年底;三是1985年底以后的支付制度仍不规定。 Many observers in medical and health enterprises regard the reforms in the health care system as a replacement. Many people in New York State are fairer and more appropriately see the positive aspects. We believe that there have been major improvements in reforms, but new problems have also emerged; major difficulties have been overcome and there are still some difficulties. Since 1975, the State of New York has formulated three policy measures. First, the restricted prices in 1975-1982 have been used to tighten the fiscal system; second, the prepayment system has been implemented until the end of 1985; and third, the payment system after the end of 1985 is still not stipulated.