Analyzing The Reform And The Public Welfare Regression Of Public Hospitals In China

The reform of public hospitals is an important part of the health care reform inour country.Public hospital is the government care for people;is the last resort ofvulnerable groups for treatment;is an important weight of guarantee all citizens areentitled to basic medical and health services;is an important means of preservingjustification and accessibility of medical service.The public hospital service should bebasic,low-cost and jury; should be praised and grateful.However, the public welfareof public hospitals has been criticized for involving some complex problems just likepolicies and systems of our country or the hospital internal operation system.Ageneral evaluation to our public hospital is weak of the public welfare.Look back at four steps of our public hospital reform,obviously,public hospital’sbehavior becomes more and more marketization at present and to be blamed bypeople.People express dissatisfaction to public hospital,this can be received empiricalsupport from investigation of the present of the patient and the physician inGuangzhou. The reason of public hospital becomes marketization can be analyzedfrom the defect in system and mangement:1) insufficient government investment,thebehavior of chasing benefits produced by live pressure;2) public hospital’s selfishstimulated its for-profit behavior;3) the labor theory of the physician value can not be reflected lowered the medical ethics standard;4) performance management focused oneconomy caused bias in medical industry;5) insufficient regulation producedoff-target of the public welfare.The present results show that the public welfare regression of public hospitals isimperative.The public welfare of public hospitals can be summarized as follows:1)justification and accessibility of medical service;2) excellent quality and efficiency;3)medical treatment for for impoverished patients;4) sudden public health events andemergency medical assistant;5) have the responsibility for scientific researching andtraining medical talents;6) assist community medical care.The public welfareregression of public hospital is decided by reasons as follows:1) some peculiarities ofmedical products and services;2) important way to solve the problem of "poor access"and "high fee";3) it is driven by social responsibility as being a public hospital;4)reflect the principle of ’’prioritizing fairness ’’ of relationship between efficiency andfairness.Drawing on foreign experience,combining with our actuality,the public welfareregression of public hospitals should construct a health services system which isexternally supportive,internal struggling,a rational division of work and monitoredwell.I suggest that the following measures be taken:1) changing compensation systemand puting the government grants policy into effect well;2) strengthening supervisionto safeguard leveled playing field of health industry;3) the most promising avenue ofreform is to construct a informatization health system;4) building a"separation of twopowers" modern system of property rights,adhere to conditions;5) reforming financialsystem to strengthen financial and operation supervision;6) reforming personnelsystem to motivate the medical staff;7) improving cooperation mechanisms withgrassroots to realize the new medical model.