公立医院改革试点任务重、难度大,要充分认识公立医院改革的重要性、复杂性和艰巨性。公立医院改革与发展的关键是,强化政府责任,保障公立医院的正常业务与发展;完善公立医院服务系统,促进优质医疗资源向基层流动;公立医院需深化内部机制改革,提高管理水平。本文针对公立医院改革与发展的关键与瓶颈,进行阐述。 Public hospital reform pilot task is heavy, difficult, we must fully understand the importance of public hospital reform, complexity and arduous. The key to the reform and development of public hospitals is to strengthen the government’s responsibility to ensure the normal operation and development of public hospitals, improve public hospital service system and promote the flow of high-quality medical resources to grassroots units, and public hospitals need to deepen the reform of internal mechanisms and improve the management level. This article addresses the key and bottleneck of public hospital reform and development.