摘要根据参加卫生部组织的“中英卫生创新伙伴计划-利康项目”医改国家试点城市管理培训班的院长们的座谈资料,从改革的目的、卫生体系、卫生筹资、支付机制与服务提供等方面进行整理,以供决策人员参考.院长们认为公立医院改革不仅仅涉及内部运行体制与机制的改革,而且涉及整个管理体制改革,仅卫生系统单独行动,成功希望小,必须是政府的大事.医院的管理要“管办分离”,政府必须真正承担起“主角”的责任.

abstractsSummaries the opinions of hospital directors who have attended the training course in the UK-China Partners in Health Innovation Programme organized by China Ministry of Health on hospital reform,including aspects of objectives of the reform,health system,healthcare financing,hospital payment and health service delivery in order to provide information for relevant health decision makers.The hospital reform not only includes the reform on hospital internal system and management,but also includes aspects related to whole social system reform.Thus,all relevant partners should work together.It should be the one of government's main tasks,not the sole task of health sectors.The governments should take main roles in the internal market resulting in a purchaser/provider split.