中国公立医院管办分离问题研究.pdfVIP

摘 要 我国进行了2O多年的医疗体制改革，中国的医疗卫生体制改革取得了一些 进展，但改革的结果却不能令人满意，人们“看病难”、“看病贵”的问题比之 以前更为突出，暴露出了诸多问题。这其中很重要的原因是医疗体制改革过程 中，掌握丰富医疗资源的公立医院如何管理，政府应如何履行公共服务的职能 问题。 传统计划经济体制下，政府习惯于对社会大包大揽，其公共服务的职能也 相对弱化，对公立医院的监管不足、管理与举办合一，政府兼裁判员与运动员 于一身，角色定位不明确。公立医院的这种管理体制已经不能适应日益成熟的 市场经济的需求，不能满足人民群众日益增长的医疗服务需求。改革现行的公 立医院管理体制，建立适应社会主义市场经济要求的公立医院管理模式，已经 成为医疗管理体制改革的重中之重。为此，我国也出台了一系列文件，鼓励探 索新型的公立医院管理体制。 为适应这一趋势，各地纷纷进行管办分离的改革实践探索。我国公立医院 的“管办分离”基本方向是正确的，但在具体实施中暴露出一些不容忽视的问 题。公立医院的管理是各国政府的普遍责任，西方发达国家在这方面积累了丰 富经验。对我国因应市场经济体制深入实施“管办分离”有一定借鉴和启发意 义。 关键词：公立医院 管办分离 体制改革 3 Abstract China has carried out the reform of the medical system for 20 years. The reform has made some progress, but the result is not satisfactory. It is more difficult and expensive to see a doctor, exposing many problems. In the health care reform process, it is very important that how to manage the public hospitals which have rich medical resources and how should the government carry out the functions of public services. In the traditional planned economy system, the government have accustomed to manage all sides of the society, its functions of public service is relatively weak. The government’s role is not clear, it is both a referee and an athlete, also, it’s supervision is inadequate for public hospitals. This management system of Public hospitals cannot match the increasingly mature market economy. It also cannot satisfy the peoples increasing demand for medical services. Reforming the existing management system of public hospitals and establishing public hospital management that matching the socialist market economy has become the top priority. China has also issued a series of documents, encouraging the exploration of new management systems of public hospitals.