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通过借鉴国内外医疗领域PPP模式经验,以浦东新区ZP医院二期项目为案例,创新性探索设计了BTOT(Build-Transfer-Operate-Transfer)的运作结构,通过成立项目公司举办社会资本为主的民办非营利性医疗机构,并采用资产租赁费与运营管理费的形式作为回报路径.在此基础上,从机构性质与国民待遇、产权归属与风险规避、利益平衡与合作期限、核心医务人员的配置等方面提出了相关对策思考,以期在公立医院改革与发展领域探索可复制的PPP模式.“,”Based on the experience of Public-Private Partnership (PPPs) model in domestic and foreign medical field, this study innovatively explored and designed the Build-Transfer-Operate-Transfer (BTOT) operational structure taking the second phase project of ZP Hospital in Pudong New District as a case study.The exploration results showed that the model established the social capital of private non-profit medical institutions by setting up the project company, and used the asset rental and operating management fees in the form of return path.In view of this, the study put forward some relevant countermeasures and suggestions from the aspects of the institution nature and national treatment, property right ownership and risk mitigation, balancing of interests and the cooperation period and solving the core staff etc.All of these measures were taken in order to explore the replicable PPP model in the field of public hospital reform and development.