CAJ | 학술논문

随着医改进入深水区，各种体制性、机制性矛盾突显，其中公立医院的法律属性是需要解决的基本问题。长期以来将公立医院定义为事业单位法人，但随着医改的不断深入，这种归类方法已不能很好地适应新要求，最突出的表现就是缺乏足够的财产独立和意志独立，这与世界医改扩大医院自主权、增强医院独立性、引入竞争机制、加强外部监督等趋势不协调。研究认为，公立医疗服务构成应当多元化，学界需要对国内公立医院法律属性进行重构，理顺政府与医院的权利义务关系，构建出既能保证公立医院公益性又能充分发挥其独立性和竞争力的医疗服务治理体系。
수착의개진입심수구，각충체제성、궤제성모순돌현，기중공립의원적법률속성시수요해결적기본문제。장기이래장공립의원정의위사업단위법인，단수착의개적불단심입，저충귀류방법이불능흔호지괄응신요구，최돌출적표현취시결핍족구적재산독립화의지독립，저여세계의개확대의원자주권、증강의원독립성、인입경쟁궤제、가강외부감독등추세불협조。연구인위，공립의료복무구성응당다원화，학계수요대국내공립의원법률속성진행중구，리순정부여의원적권리의무관계，구건출기능보증공립의원공익성우능충분발휘기독립성화경쟁력적의료복무치리체계。
With the medical reform going into the deep water area,many systematic and mechanic contradictions come into prominence. The legal attribute of public hospital is the basic problem which needed to be solved. It has been a long term for us to define the public hospital as institutional organization, but this kind of classification has been unable to adapt to the new requirements of deeper healthcare reform. The most prominent problem is lack of enough independent property and spirit, which is not consistent to the tendency of worldwide medical reform that is to enlarge the hospital autonomy and independency, introduce competition mechanism, and strengthen external supervision. Therefore, in this paper, we think the medical service system should be diversified and scholars need to reconstruct the legal attribute of public hospital in order to clarify the relationship between government and the hospital. Eventually we can construct a new medical service governance system which is competitive and efficient under the precondition of fulfilling public welfare responsibilities.