最近,卫生部官员在谈及未来医疗服务机构的改革方向时表示:“民营医院不一定是营利性医院,公立医院也不一定是非营利的。”笔者以为,这位官员给出的两个判断中,前一个可以成立。后一个则属误断。在世界各国,公立医疗机构与公益性有着天然的联系。一方面,政府资金的公共性质决定了它只能在公共服务的目的下使用,另一方面,让人人享有公平和普遍的医疗服务是政府举办医疗保健事业的宗旨。这两个因素决定了公益性是公立医疗机构的固有属性。不过,公益性并非公立医疗机构的专有属 Recently, officials of the Ministry of Health said that in the future reform direction of medical service institutions: “Private hospitals are not necessarily for-profit hospitals, and public hospitals are not necessarily non-profitable.” The author believes that this official gives two In the judgment, the former one can be established. The latter is a mistake. In all countries of the world, public medical institutions have a natural connection with public welfare. On the one hand, the public nature of government funds determines that it can only be used for the purpose of public services. On the other hand, allowing everyone to enjoy fair and universal medical services is the purpose of the government’s health care business. These two factors determine that public welfare is an inherent attribute of public medical institutions. However, public welfare is not a proprietary property of a public medical institution