宏观改革政策和财政职能变化,医院成为逐利的“经济实体”

Hospital becomes profit oriented“economic entity”with the macro-policy reformed and the fiscal obligation changed

改革中经济尤其是GDP增长优先的现实,客观上忽视了对医疗服务行业发展导向的把握,为医疗卫生服务逐步摆脱福利性和公共产品性质营造了氛围和条件。而政府财政职能的调整,对医疗卫生事业产生了灾难性后果,是将医疗卫生机构定格为“经济实体”,意味着医院不得不将注意力放在“通过服务收费多收一点”。因此,可以说看病贵等问题出现和愈演愈烈,与财政部门的资金自筹政策直接相关。理清个人、社会、政府三方关系基础上,重点明确公立医院医疗服务的筹资模式是出路。

The fact that economy, especially the growth of GDP, is superior to any others reduced the attention to the orientation of the medical system, which provides the circumstances and conditions for medical service department getting rid of its welfare and public goods characters gradually. The government＇s changing its policy on medical service caused disaster, which resulted in the fact that the medical service institutions transformed into profitoriented ＂economic entity＂ and hospitals were compelled to pay more attention to making more money by providing medical services. Therefore, the emerging and deteriorating of the problems such as overly expensive medical services is directly related to the self-financing policy. So the breakthrough for medical reform is setting up appropriate financing policy for the public hospitals, based on making certain relationships between individual, society and the government.