在行政管控措施一浪高过一浪的大环境下,公立医院唯有顺势而为,沿着市场化所开辟的成熟路径前行,才能救亡图存。公立医院改革不是改医院,而是改政府,这是医改市场推进派和政府主导派都认可的一句话,但实质内容大相径庭。市场推进派认为,医改的方向是去行政化,其中包括改变政府职能,让行政机制以补充、强化市场机制的方式而不是取代甚至摧毁市场机制的方 Under the circumstance that administrative control measures are overwhelming, public hospitals can only survive if they follow the well-established path opened up by marketization. Public hospital reform is not to change the hospital, but to change the government, which is approved by the medical reform market promotion party and the government leader. However, the substantive content is quite different. The marketeers believe that the direction of medical reform is to go to administration. This includes changing government functions so that administrative mechanisms supplement and strengthen market mechanisms instead of replacing or even destroy the market mechanism