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我国于上世纪八十年代进行的公立医院改革采用了承包制、二级预算、二级分配等一系列市场化措施,虽然减轻了政府财政负担,却将商品经济的规则引入到医院中,导致医患关系紧张、医疗费用上升的局面,造成医院发展目标与公益性方向的脱离。2009年新医改将“推进公立医院改革”确定为五项重点改革内容之一,明确指出要推行公立医院管理机制、运行机制和监管机制的改革,逐步实现政事分开、管办分开,消除以药补医,鼓励民营资本举办非营利性医院,其目的是保证公立医院的公益性。十八
In the 1980s, China adopted a series of market-oriented measures such as contracting system, secondary budget and secondary distribution in public hospital reform. Although it reduced the financial burden on the government, it introduced the rules of commodity economy into the hospital, resulting in Tension between doctors and patients, rising medical costs, resulting in hospital development goals and the direction of public welfare out of. In 2009, the new medical reform identified “promoting public hospital reform” as one of the five key reforms. It clearly pointed out the need to promote the reform of the public hospital management mechanism, operation mechanism and regulatory mechanism, and gradually separate the political affairs from the separate operation management and elimination To supplement medicine and encourage private capital to hold non-profit hospitals, its purpose is to ensure the public welfare of public hospitals. Eighteen