介绍了美国联邦对非营利医院社会责任的立法进程及各州立法现况,并结合美国实践经验对"社会责任与健康促进"模型,即社区健康需求评估、健康促进计划、计划实施、监督与评估进行分析.提出对我国公立医院社会责任发展的启示,探索建立医院社会责任制度,设立评价指标体系;以健康需求评估为核心,制定社区健康促进计划;建立医院社会责任信息披露制度,促进社会责任的履行.%This paper introduced the legislative development of community benefits system of nonprofit hospitals at federal level in the United States,as well as state legislatures in this regard. Based on America's experiences, an analysis was made on the "community benefits and health promotion model", which refers to community health needs assessment, health promotion programs, program implementation, supervision and appraisal. Thus the authors put forward inspirations for the social responsibility system development of public hospitals in China as follows. This refers to the establishment of hospitals' social responsibility system; development of community health promotion planning based on health needs;and establishment of social responsibility information disclosure system for fulfillment of their social responsibilities.
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