Under The Background Of The New Health Care Reform To Strengthen Tertiary Public Hospital Public Welfare Run Strategy Research

At present, “Proper health care is different to get and proper health care is expensive " has become a serious reality and hot issue which exert an influence on civilian physical and mental health. The general guiding ideology is not clear in the process of medical reform over the past few decades, just simply copy and apply mechanically the reform of the state-owned enterprise management mode. The distortion of competition in market operation mode is introduced in the public hospitals, which result the public welfare get down in public hospitals in our country. At the same time, the public hospital as a self-sustaining economic entity in the environment of market economy, hospitals have to maintain their development by pursuing of economic interests, the blind pursuit of interests cause the decline in health service and the issue of “Proper health care is different to get and proper health care is expensive". “heal the wounded and rescue the dying” is doctor’s work, and the "public welfare" for public health is the basic job of public hospitals, and the medical assistance activities is a basic consensus of civilian. In nowadays society, the connotation of "public welfare" is not very clear in the health administrative department,at the same time, the understanding of public welfare is "emotional, one-sided".It is difficult to enhance the operation of public hospitals in the theoretical and practical guidance.The article has researched how to strengthen the public welfare in public hospitals’ operating strategy in the new medical reform context in our country, the author review the operation of public welfare in domestic three-level public hospital deeply and widely, not only clear the fact of public welfare operation weakness,but also give a scientific definition to the basic concept about the connotation and extension of public hospitals and other public welfare. The China’s medical reform process and the new medical reform spirit were introduced in detail. A case study for H hospital has been analyzed to find the existing problem about public welfare operating in China’s three-level public hospitals, in older to advise China’s three-level public hospital to strengthen the strategy and safeguard mechanism of public welfare operation. Research studies show that running of public welfare in China’s three-level public hospital should be enhanced. On hand, the governmental functions should be strengthened, scientific and feasible policy file should be formulated, and a good policy environment for the operation of l public welfare in hospital is needed. Building a scientific and reasonable division of labor that medical and health service supply system with complete function optimization. Establishing a fair and health security system cover both urban and rural. A sanitation laws and hygiene criterion should be executed. Financial input and compensation for public hospitals should be increased to ensure that the public hospitals to realize running the bottom line of the social commonweal. On the other hand, the public hospital optimize the internal management and operation mechanism. The public hospital strengthen medical ethics and occupation moral construction. the medical technology, the quality and efficiency of medical services should be improved constantly, the public hospital shoulder for the people health care to escort, to construct a healthy, harmonious society and social responsibility better.