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自公立医院进行试点改革以来,获得了阶段性进展,积累了有益经验,主要表现为有的在一些重大体制机制改革和服务体系建设方面锐意创新、大胆探索,有的在便民惠民措施方面真抓实干、亮点频出,有的围绕调动医务人员积极性、鼓励多元化办医等方面认真履行、扎实推进。但总体来说获得了一定的成效,如结构得到了进一步调整,资源得到了进一步整合;医疗服务体系不断优化;人事分配制度改革效果显著,医务人员积极性得到了提高;便民惠民措施效果显著,医院内部管理能力得到加强等。但是改革中仍存在不少不足之处,体制机制改革尚未形成统一趋势,公立医院自身动力不足等这些都为公立医院改革提出了挑战。本文通过对镇江、芜湖、北京等十七个国家级公立医院改革试点城市的公立医院改革的进展和成效进行简单总结归纳,在讨论我国公立医院改革的成功之处的同时还指出了公立医院改革在现阶段有许多不足之处,从而为我国下一步的公立医院改革工作提供有价值的建议。
Since the pilot reform of public hospitals, it has made staged progress and accumulated useful experiences. Some of the major achievements have been made in innovating and boldly exploring some major institutional and institutional reform and service system construction, Doing solid work and highlighting frequent, and some mobilized around the enthusiasm of medical personnel, to encourage diversified medical treatment and other aspects of earnest implementation, and promote solidly. However, the overall achievements have been made. For example, the structure has been further adjusted and resources have been further integrated; the medical service system has been continuously optimized; the reform of the personnel distribution system has achieved remarkable results; the enthusiasm of medical personnel has been raised; Hospital internal management capabilities have been strengthened. However, there are still many shortcomings in the reform, the institutional reform has not yet formed a unified trend, the lack of motivation in public hospitals, etc. These are the challenges posed by public hospital reform. This paper briefly summarizes the progress and achievements of the reform of public hospitals in the pilot cities of reform of 17 state-level public hospitals in Zhenjiang, Wuhu and Beijing. In discussing the success of the reform of public hospitals in our country, it also points out the public hospital reform There are many shortcomings at this stage, so as to provide valuable suggestions for our country’s next public hospital reform.