摘要
基于新公共服务理论,指出政府在公立医院投资建设活动中放权和公私合营(public-private partnership,PPP)建设的必要性。继而通过文献梳理,总结出国外医院典型PPP模式的经验在于成熟法律机制的保障、严格的监督约束和专门机构的助推发展,但与此同时,各国PPP实践中也出现了维护成本过高、为节约成本导致质量低下等问题。基于国外的经验与教训,提出在我国公立医院PPP模式环境尚不成熟的背景下,应坚持政府主导、完备相关制度建设、建立相应的配套机构,并引导规范市场的形成。
Based on the new public service theory, this article emphasized the necessity of Chinese government devolution on public hospital investment and construction, and promote public-private partnership (ppp) in Chinese public hospitals. By literature review, experiences of the foreign typical PPP modes were concluded as guarantee of mature legal system, the strict supervision system and the specialized agencies’ promotion. However, there were still some problems, such as high cost of maintenance and poor quality due to cost saving. Therefore, the implications for the development of public hospitals in China were proposed, which included insisting on government orientation, completing the related systems, setting up supporting organizations and regulating the market.
出处
《医学与哲学(A)》
北大核心
2015年第10期68-70,73,共4页
Medicine & Philosophy:Humanistic & Social Medicine Edition
基金
教育部人文社会科学一般项目"新技术纳入医疗保险报销范围的循证决策支持方法研究"
项目编号:14YJCZH035
关键词
公私合营
公立医院
公共服务
public-private partnership, public hospital, public service