从新医改方案看公立医院落实公益性的难点及其对策

我国公立医院的属性是公立，资产属于国家，而经营行为，明显走上了营利性道路。公立医院公益性淡化的根源在于：政府主导责任缺失、补偿机制扭曲、资源配置不合理、公立医院公益性意识淡化。落实公立医院的公益性质，要坚持政府主导，增加政府投入，强化行业监管；坚持推进改革，完善医院运行机制。

On the difficulties and countermeasures in implementing public welfare nature of public hospitals from the perspective of new health reform program

In China, we have many so-called public hospitals in nominal. Their assets are belongs to the gov- ernment, but their operation behavior in nature is for-profit. The main reasons which caused the deviating are lack of leading responsibility of government, distorted reimbursement system, illogical allocation resource and weakened social responsibility. These findings are fundamental basis for policy suggestions which recommend on how to deepen the public hospital management system and the operational mechanism reform. This article proposes policies as such the responsibility of government domination, the increase government investment, strengthened profession supervision and management, the promotion of the reform, the improvement of the operational mechanism.