CAJ | 학술논문

目的：从政府主导视角，探索影响公立医院公益性的因素及对策。方法：基于文献的内容分析方法。结果：公立医院公益性淡化的影响因素主要有卫生改革的历史遗留问题、卫生管理体系不完善、监管体制不顺畅、受经济相关因素制约等4个方面；相应对策包括合理引导、优化资源，健全机制、统一管理，严格监督、综合考评，经济补偿、费用控制。结论：探讨公立医院公益性的影响因素及对策是实现医疗卫生公益性的基础性工作，能够为卫生体制改革提供一定的决策参考。
목적：종정부주도시각，탐색영향공립의원공익성적인소급대책。방법：기우문헌적내용분석방법。결과：공립의원공익성담화적영향인소주요유위생개혁적역사유류문제、위생관리체계불완선、감관체제불순창、수경제상관인소제약등4개방면；상응대책포괄합리인도、우화자원，건전궤제、통일관리，엄격감독、종합고평，경제보상、비용공제。결론：탐토공립의원공익성적영향인소급대책시실현의료위생공익성적기출성공작，능구위위생체제개혁제공일정적결책삼고。
To explore the impact factors for public interests in public hospitals and relevant solutions in view of government-led. Methods: Literature review. Results: It shows there are various deep-seated influential factors for the lack of public interests of several public hospitals, which mainly presents at four facets: leftover problems of health reformation, imperfect management systems, blocked regulatory system, economic relative factors constraints. Relevant solutions include: leading reasonable, conserving resources; improving mechanisms, unified management; strict supervision, evaluating generally; economic compensation and regulating expenditure. Conclusion: Exploring the impact factors for public interests in public hospitals and relevant solutions are the primary task to carry out the public interests of medical and health services. It can also provide certain decision-making reference for the direction of health management reformation.