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引用本文:郑大喜.从新医改方案看公立医院落实公益性的难点及其对策[J].中国卫生政策研究,2009,2(8):22-27
从新医改方案看公立医院落实公益性的难点及其对策
投稿时间:2009-06-11  修订日期:2009-07-07  PDF全文浏览  HTML全文浏览
郑大喜
华中科技大学同济医学院附属同济医院
摘要:我国公立医院的属性是公立,资产属于国家,而经营行为,明显走上了营利性道路。公立医院公益性淡化的根源在于:政府主导责任缺失、补偿机制扭曲、资源配置不合理、公立医院公益性意识淡化。落实公立医院的公益性质,要坚持政府主导,增加政府投入,强化行业监管;坚持推进改革,完善医院运行机制。
关键词:公立医院  补偿机制  逐利倾向  公益性质  社会责任
On the difficulties and countermeasures in implementing public welfare nature of public hospitals from the perspective of new health reform program
ZHENG Da-xi
Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
Abstract:In China, we have many so called public hospitals in nominal. Their assets are belongs to the government, but their operation behavior in nature is for profit. The main reasons which caused the deviating are lack of leading responsibility of government, distorted reimbursement system, illogical allocation resource and weakened social responsibility. These findings are fundamental basis for policy suggestions which recommend on how to deepen the public hospital management system and the operational mechanism reform. This article proposes policies as such the responsibility of government domination, the increase government investment, strengthened profession supervision and management, the promotion of the reform, the improvement of the operational mechanism.
Key words:Public hospitals, Reimbursement mechanism, For profit incentives, Public welfare nature, Social responsibility
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