公立医院是我国医疗服务体系的主体,但现有的公立医院存在医疗资源分配不均衡、政府投入不足、医院营利化倾向严重、医疗服务竞争不公平等问题。2009年以来的新医改,将公立医院试点改革作为医疗体制改革的重点之一。2013年,各级政府不断加大对公立医院的投入,在取消以药养医、理顺医药价格体系,完善公立医院布局以提高医疗资源的可获得性,建立医疗联合体实现医疗服务的均质化,发展基层公立医院促进医疗资源分配的平等性,改革公立医院管理体制提高医疗服务的效率等方面取得了突出的成就,为公立医院改革的全面启动积累了丰富的经验。
<<Public hospitals are the major suppliers in the health care service system in China. However,there are problems in the present public hospital system,such as the imbalance of distribution of health care resources,the insufficiency of governmental budget,the inappropriate managing model,and the unfairness in the market competition between public and private hospitals. In the New Medical Reform Scheme of 2009,the reform of public hospital system was chosen as one of the major issues. In the year of 2013,central and local governments kept increasing the budget for public hospitals. In the experimental area the currant policy of profiting from medication was abandoned,the overall distribution of hospitals was improved,hospital groups were established,whereas the local hospitals in county level were developed. New managing system was also tried,in order to improve the efficiency of health care service.
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