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把公立医院改制成独立经济利益的法人治理结构和财政对公立医院由补供方变为补需方,让公立医院展开市场竞争,政府代表患者购买公立医院服务,这样的改革思路是不可能成功的。其根本原因就是无法消除医疗服务特异性所导致的严重市场失灵。公立医院间市场竞争的结果是医疗(药)费越来越贵。公立医院改革成功的标志是真正做到“公益性”。实现“公益性”公立医院的关键环节是公共监督。因此,公共监督下的由国家财政举办的公立医院是其必然选择。
The corporate governance structure and finance that reorganized public hospitals into independent economic benefits have made it impossible for public hospitals to be replaced by supply-side and public hospitals to compete in the market and government to buy public hospital services on behalf of patients of. The root cause is the failure to eliminate the serious market failure caused by the specificity of medical services. The result of competition among public hospitals is that medical (medicine) fees are becoming more and more expensive. Public hospital reform is a sign of success is truly “public welfare ”. Achieve “public welfare ” public hospital key link is public supervision. Therefore, public hospitals run by state finance under public supervision are their inevitable choice.