基于我国约束条件下的公立医院改革战略

Reform Strategy of Public Hospital under the Condition of Chinese-style’s Constraints

推进公立医院改革的中国式约束条件包括人口多且穷的基础;办医的资源动员不足,财政难以负担数量庞大的公立医院;公立医院结构扁平,管理不善,效率低下,监管制度不完善等。可以进行资源总动员为公立医院减压,强化内部治理为财政减负;通过整合和转制来优化公立医院结构,走渐进式改革路径推进改革。

The reform of public hospitals needs to promote Chinese-style constraints, including the basis of population and poverty; to do medicine shortage of resource mobilization, whose result is that finance can not afford the huge number of public hospitals; flat structure of public hospitals, mismanagement, inefficiency and imperfect regulatory system and so on. Mobilization of resources can reduce the pressure of public hospitals and strengthen the internal governance of the financial burdens, through the integration and conversion of the structure of public hospitals, the path of gradual reform, push forward reform.