国有医疗机构转型中性质分类的若干思考

Some consideration on classification by nature in the course of transition of state-owned medical institution

医疗机构分类管理政策是医药卫生体制改革的重要内容之一 ,将现有的医疗机构分为营利性和非营利性两类 ,并按不同的财政、价格、税收政策进行管理 ,这有利于不同性质医疗机构之间的公平有序竞争 ,在一定程度上促进国有医疗机构管理效率的提高、服务水平及服务态度的改善。但是对于国有公立医疗机构多元化融资转制后的性质分类 ,目前仍无明确的分类原则和依据。该文旨在对于国有医院转型 (制 )后的几种形式分类进行探讨 ,认为应依据其经营目的 (即投资是否要求回报及其回报的程度 ) ,而不应以国有股所占比例来划分其性质。

Category management policy of medical institution is an important part of health system reform. Current medical institution is divided into two groups, one is the profit and the other is the non profit. They are managed by different finance, price and tax policy. In this way, it will be in favor of the competition among different medical institutions, to some degree, raise the management efficiency of state owned medical institution and improve the level and the attitude of services. But there are still no clear classification principles and reasons to the category after multi funded transition of state owned medical institution. This paper discussed a few groups of private ownership form of medical institution classified by its nature. It should base on its purpose of management, not by the proportion of state owned stock. The noticeable issue in the course of transition was also discussed in the paper.