我国医改以来社会办医的进展与挑战

Progress and challenge of private care since health reform in China

通过分析2007—2011年社会办医院医疗资源占比、业务量占比及经济运行情况,发现医改以来社会办医院正缓慢增长,尤其是社会办医院机构数占比2011年已达38.4%,床位数达12.45%,业务量占比超过15%。但也存在卫生技术人员难以增加,收支结余率有所下降的情况,显示进一步发展存在困难。由此对我国社会办医的合理比例、人才来源及政策公平性进行讨论,并对社会办医的发展提出明确定位、完善人力资源管理、健全进入和退出机制、落实政策待遇及加强行业监管等政策建议。

This paper evaluates the progress of private care since health reform began in China three years ago. We also analyze the proportion of heahhcare resources held by private provider, the volume of services, finance situa- tion, and other indicators. We found that in 2011, the proportion of private provider reached 38.4%, the percentage of beds grew to 12.45% , and the volume of services accounted for more than nearly 15%. However, there are also difficulties in personnel recruitment and earnings ratio. These issues will affect further development of private provid- ers. Finally, some policy suggestions are put forward from the human resources, and resource＇ s proportion. perspective of hospital functional localization, source of