在中国,以公益为导向的公共医院改革的演变和未来轨迹
Cheng Zhang1, Linmi Deng2, Yongzhulacuo3
1Sichuan Health Development Research Center, Chengdu, China.
Frontiers in public health
|February 2, 2026
概括
中国的公共医院改革经历了四个阶段,从政府控制转向市场影响,再转向公共福利. 恢复公共福利性质是未来成功的关键.
科学领域:
- 卫生政策和管理卫生政策和管理
- 公共卫生 公共卫生
- 社会经济学 社会经济学
背景情况:
- 公立医院是中国医疗保健系统的核心.
- 改革受到社会经济变化的影响.
- 历史分析揭示了不同的改革阶段.
研究的目的:
- 检查中国公共医院改革的演变情况.
- 确定关键阶段及其特征.
- 为未来的卫生系统转型提供见解.
主要方法:
- 历史分析 历史分析
- 政策分析 政策分析
- 追踪改革轨迹与社会经济发展的轨迹.
主要成果:
- 确定了四个不同的阶段:由政府领导的基础 (1949-1978年),以市场为导向的 (1979-2004年),反思和调整 (2005-2020年) 和深化改革 (2021年至今).
- 突出了公共福利性质的削弱和随后的恢复.
- 解决了对比卫生系统改革文献中的差距.
结论:
- 维护公共福利性质对于成功的公共医院改革至关重要.
- 提出合作治理和加强三方联系 (服务,保险,制药).
- 建议重建激励系统,使其与公共福利目标保持一致.
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