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坚持公立医院的公益性,即要以促进公共健康福利为宗旨,坚持机构运营的非营利性,为实现“人人享有基本医疗卫生服务”的目标服务。补偿机制不完善、不合理是公立医院偏离公益性的重要经济根源。实现和坚持公立医院的公益性,关键在于理顺补偿机制。为此需明确财政补助公立医院的范围和重点,创新财政投入机制,提高投入效率;完善医疗服务价格体系,改革“以药补医”机制;改革付费方式,控制医疗费用的不合理增长。
Adhere to the public welfare of public hospitals, that is, to promote public health and welfare for the purpose, adhere to the non-profit institutional operation, in order to achieve “Everyone enjoys the basic medical and health services, ” the goal of service. The compensation mechanism is imperfect and unreasonable, which is an important economic source for public hospitals to deviate from public welfare. The key to realizing and upholding the public welfare of public hospitals lies in rationalizing the compensation mechanism. To this end, it is necessary to clarify the scope and emphasis of public subsidized public hospitals, innovate the financial input mechanism and improve the input efficiency; improve the medical service price system, reform the mechanism of “supplement medicine with medicine”; reform payment methods and control the unreasonable increase of medical expenses .