我国公立医院规模扩张的现状与对策

Analysis and suggestions on the current scale expansion of public hospitals in China

我国医疗资源配置存在失衡,公立医院规模不断扩张,大型医院数量不断增加。医院规模扩张带来系列问题,控制医院按照合理规模发展已经形成共识,需要在一定理论认识的基础上,采取行政和市场引导梳理相结合等方式,包括区域卫生规划和医疗机构设置规划,以及完善体制和市场机制引导医院主动合理控制规模。

Public hospitals in China keep growing in terms of both scale and numbers, further misbalancing medical resources equity. Such expansion has brought about a series of challenges, and a consensus has been reached to maintain their development in a rational pace. To this end, both administrative interventions and market-based guidance should be used, including planning for regional healthcare and medical institutions as well as improving both institutional and market-based mechanisms to guide these hospitals toward a rational control of their scale.