许多中低收入国家公共医疗服务效率相对低下。转变公共部门的管理思想 ,世界银行暗示 :同私立部门签订具有竞争力的合同可能会提高医疗服务实施的效率。本文对印度、巴布亚新几内亚、南非、泰国、津巴布韦等国签订合同形式进行了实例研究 ,并对得出的证据加以了总结 Many public health services in low- and middle-income countries have relatively low efficiency. To change the management thinking of the public sector, the World Bank hinted that signing a competitive contract with the private sector may increase the efficiency of the implementation of medical services. This paper conducts case studies of contracts signed by India, Papua New Guinea, South Africa, Thailand, and Zimbabwe, and summarizes the evidence obtained.