新医改中最困难的环节是公立医院的改革。公立医院作为我国公共卫生医疗机构的主体,肩负着全社会基本医疗保障和公共卫生服务的重担,其运行机制应体现公益性质,但多种原因使我国公立医院运行机制出现市场化倾向,公益性淡化。公立医院回归公益性是破解新医改的难题,需要借鉴国际经验,并进行相应的制度建设。 The most difficult part of the new medical reform is the reform of public hospitals. Public hospitals, as the main body of public health and medical institution in our country, bear the burden of the basic medical insurance and public health services of the whole society. The operating mechanism of the public hospitals should reflect the nature of public welfare. However, public hospitals have a tendency of marketization and public welfare Desalination. Public hospitals return to public welfare is to solve the problem of new medical reform, need to learn from international experience, and carry out the corresponding system.