公立医院治理低效探源

Investigation of in Efficient Cure for Public Hospitals

因为我国特定的政治、卫生体制的深层问题的阻滞，治理公立医院的大部分方法和措施(如医药分家、医院分 类管理等)都是低效甚至失效的，其直接后果就是把公立医院变成了难以治理的组织，这是我国医疗卫生体制的最大痼疾。 我国卫生体制的深层问题主要是行业的垄断性、政府的财政支持缺位、治理能力低下和社会缺乏法治环境等。要从根本上解 决问题，必须强化政府的公共卫生责任，引入竞争机制，推进产权改革，培育市场，建立新的制度框架。

Due to the deep-rooted structural problems of political and sanitary structures, most methods and measures of cure for public hospitals （such as dividing the medicine from hospital and classification of hospitals） are low efficient ornoneffective and thus lead to an immediate consequence that the public hospitale become hard to cure. That is a pertinacious illness in the medical and sanitary system of this country. The deep-rooted structural problems of political and sanitary system are mainly the monopolization, lack of governmental financial support, incapacity of cure and poor legal institutions. Therefore, we have to strengthem the governmental responsibility of public sanitation, introduce a competitive mechanism, promote the reform of property right, cultivate a sound market and establish a new system.