深化公立医院改革——关于公立医院改革的思考

在论述公立医院的历史地位和前景以及公立医院的体制弊端和改革的必要性的基础上，提出了公立医院改革的目标与基本思路，指出要明确改革目标，形成改革合力；调整公立医院的结构布局，优化公立医院资源配置；明确政府办医职能，对公立医院实行分类管理；实行政事分开，管办分开，改革公立医院管理体制；改革公立医院内部运行机制，提高工作效率与效益；规范落实财政补助，调整公立医院经济补偿结构；实施医药分开管理，切断医务人员与药品的利益关系；建立可持续发展的有效机制，保障公立医院健康发展。

Thoughts on public hospital reform

The historical status and the vision of public hospital were reviewed. The system predicament and necessity of reform on public hospital were analyzed. Public hospital reform goals and basic thoughts were presented. The main measures included clear reform objectives and integrating puwers related to hospital reform, adjusting public hospital distribution and optimizing public hospital resources allocation, clear government＇ s responsibilities for public hospital and public hospital classified regulation, separating regulation rights and operation rights to reform public hospital regulation system, reforming hospital operation mechanism to promote public hospital efficiency and effectiveness, strengthening government input and adjusting public hospital reimbursements structure, separating the regulation of medical service and drugs to cut off benefit chains between medical staff and drug marketing. The reform goals were to establish an effective mechanism to assure public hospital healthy development.