公立医院公益性的概念与加强策略研究

文章针对公立医院公益性讨论的分歧,提出了可以将公益性划分为自然公益性和衍生公益性,并分别界定了两者的内涵。当前,公立医院的公益性问题主要是衍生公益性发挥不良。文章分析了公立医院衍生公益性存在的问题和原因,提出了6点加强建议,即:控制公立医院总规模;确保基本公共投入;加强预算和收支管理;控制收费项目和价格水平;发展职业化专业化管理队伍;鼓励公益性捐赠等。

Study on the Definition of Public-Interests Orientation of Public Hospitals and Its Enhancement Options

Considering the different opinions towards the public-interests orientation of public hospitals,the author has put forward that public-interests orientation could be divided into two tiers:the natural public-interests orientation and the derivative public-interests orientation.The clarification and the definition for the terms were discussed in the paper.The main problem of public hospitals existed in the derivative public-interests orientation aspect.Based upon the analysis on the issues of and reasons for the declining trend of public-interests orientation of public hospitals,six suggestions were presented on correcting and improving the public-interests orientation of public hospitals,which were controlling the overall size and scale of public hospitals,ensuring the adequate public financing,enhancing the budgeting activity and dealing with the residuals of income and expense surplus,controlling the pricing list and lowering the levels of user fees,developing the well-trained and professional hospital managers,and encouraging the philanthropy donations from the public and individuals.