摘要分析了当前公立医院面临的主要困难,评价了三十年医疗卫生改革所取得的成绩与不足,提出在公立医院改革中应因地制宜,切合实际;完善医疗收费价格体系,明确基本医疗服务范畴;建立医疗集团或医疗联合体,规范病人的就医行为;确立公立医院的法人治理结构.
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abstractsAnalysis of the hurdles to cross for public hospitals in China in their reforms, and appraisal of the achievements and setbacks found in the healthcare system reform in the past 30 years. These form the basis for the recommendations for pragmatic reform measures in public hospitals, for improvement of the medical charge pricing system and clarification of the coverage of the essential medical services; for establishment of medical groups or medical consortiums and regulation of patients treatment seeking behavior; and for finalizing the corporate governance structure of public hospitals.
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