公立医院参与医疗服务领域供给侧结构性改革研究

摘要

本文分析了我国医疗服务领域结构性问题在公立医院的主要表现,包括深层次体制机制矛盾和负债扩张后的资源利用低效问题.依据公立医院改革政策文件,提出了公立医院参与医疗服务领域供给侧结构性改革的路径:化解公立医院历史债务,控制财务和财政风险;严格公立医院成本控制,遏制费用不合理增长,提供可负担的服务;改革管理体制和运行机制,补偿监管到位,健全公立医院治理体系;加强公立医院与基层、社会资本的联系,整合医疗产业链,扩大优质医疗资源供给.%This paper analyzes the main performance problems of public hospitals in China,s health service field,including the deep institutional mechanism contradictions and the inefficient use of resources relying on debt to expand.Based on the policy paper of public hospital reform,this paper puts forward the path of public hospitals,par-ticipation in supply-side structural reform of medical services with objectives including:to resolve the historical debts of public hospitals,to control the financial and fiscal risks;to strictly control the cost of public hospitals, to cutrail the unreasonable increase of expenses in public hospitals and provide affordable services;to innovate the management system and operation mechanism,to make compensation and supervision in place, and improve the governance sys-tem of public hospitals;to strengthen the links between public hospitals and primary,social capital so as to integrate the medical industry chain,and expand the supply of high-quality medical resources.