破除逐利机制是公立医院改革的关键

逐利机制是我国公立医院诸多问题的总根源,破除逐利机制是公立医院改革的关键。逐利机制不是公立医院自主追求的结果,而是政府一系列政策选择的意外结果。逐利机制有三个主要环节:创收压力机制、成本放大机制和收入挂钩机制。因而,破除公立医院逐利机制也应从此三个方面着手综合施策,而改革收入挂钩机制是其中具有决定意义的环节。

Reforming profit-seeking mechanism is the key to public hospital reform

The profit-seeking mechanism which has emerged as an unexpected result of a series of policy choices during the market-oriented healthcare reform is the root cause of almost all problems among the public hospitals, and hence the key to the public hospital reform. The mechanism is comprised by three components including the pressure mechanism to create the revenue, the enlargement mechanism to reimburse costs, and the linkage mechanism between employee income and hospital surplus. Therefore, a comprehensive policy package should be adopted to undertake these three aspects among which the linkage mechanism is the crucial one.