论我国公立医院的配置调整思路

The policy analysis on the allocation of public hospitals in China

不同历史时期,公立医院应当承担起不同的历史责任。在医疗卫生资源稀缺时期,公立医院应当是配置主体。在医疗卫生资源丰富时期,公立医院应当是制衡主体。在民营医院发展到一定规模的时候,公立医院应当专注于向低收入人群提供适宜的医疗卫生服务。这是"市场能做的市场做,市场不能做的政府做"思想的集中体现。我国公立医院在医疗市场中的份额,在今后若干年内可以下降到70%～60%的水平。

In different periods, public hospitals should take different historic responsibilities. When the society was scarce of medical resources, public hospitals should be the main supplier to deliver medical services. When the society had sufficient medical resources, public hospitals should play a role of checking and balancing resources. When the society-owned hospitals have developed to a certain size, the role of public hospital is to provide appropriate medical services to low-income people. This is an expression of ideas that ＂market do it can do, government do the market cannot do＂. It is recommended that the share of China＇s public hospitals in the health care market over the next few years could be reduced to 70% -60%.