广州公立医院改革的问题与对策分析

广州公立医院改革中存在的主要问题是：政府投入比重逐年下降，公立医院公益性淡化：政策导向使公立医院渐趋逐利性：医疗保障体系不健全．基本医疗保险覆盖率低，直接影响公立医院的生存与发展。针对上述存在问题．建议采取以下对策：控制大型医院发展规模，规范服务范围，打造精品公立医院：发展社区卫生服务，扶持基层医院，形成双向转诊机制：建立全民基本医疗保障体系，为深化公立医院的改革创造有利条件。

The Question and Countermeasure About the Reform of Public Hospitals in Guangzhou

This paper believes that the reform of public hospitals in Guangzhou,the main question is:will the government put the proportion has dropped to dilute nonprofit public hospitals;Public hospitals become increasingly profit-oriented policies;Medical security system is not sound,basic medical insurance coverage and lower direct impact on the survival and development of public hospitals. To address the above problem,the following measures:control of large-scale development of the hospital,standardized services,and creating a fine public hospitals;The development of community health services,support for grass-roots hospitals,the formation of two-way referral system;Establish a basic medical insurance system for people to create favorable conditions for deepening the reform of public hospitals.