城市公立医疗机构产权制度改革的探讨

由于历史的原因,在医疗资源密集的大、中城市中公立医疗机构数量众多。随着城镇医药卫生体制和社会事业改革的不断深化,以及政府公共卫生管理职能的转变,公立医疗机构过多,导致政府财政负担重,医疗市场竞争和活力不足的弊端愈加明显。文章从改革的必要性、面临的主要问题和改革基本思路3个方面,对资源密集型城市中公立医疗机构产权制度的改革进行了论述,并着重阐述了政府在这一改革过程中所处地位和应发挥的作用。

Discussion of reform in the property right system of urban public medical institutions

Due to historical reasons, public medical institutions are legion in medical resources-intensive big and medium-sized cities. With the deepening of reform in urban medical and health systems and social undertakings and the transformation of government functions in public health management, the disadvantages of having an excessive number of public medical institutions have become increasingly evident, for it can lead to heavy financial burdens for the government and insufficient medical market competition and vitality. The paper discusses reform in the property right system of public medical institutions in resources-intensive cities from three aspeets, viz. the necessity of reform the major problems to be dealt with, and the basic framework of the reform. It also gives a detailed account of the position and role of the government in this reform.