CAJ | 학술논문

公立医院改革已经成为我国当前卫生体系改革的主要内容，改变其逐利动机是改革的目的与难点，这可能与补偿补助、公立医院行为的复杂性有关，而行为复杂性则缘于医疗服务不确定性与信息不对称。基于社会角度，通过评价明确公立医院服务的价值、成本、合理性等是公立医院改革的前提与基础，评价既要关注整体的质量与效率，也要注重社会团体的参与，以及公开此类信息的作用。
공립의원개혁이경성위아국당전위생체계개혁적주요내용，개변기축리동궤시개혁적목적여난점，저가능여보상보조、공립의원행위적복잡성유관，이행위복잡성칙연우의료복무불학정성여신식불대칭。기우사회각도，통과평개명학공립의원복무적개치、성본、합이성등시공립의원개혁적전제여기출，평개기요관주정체적질량여효솔，야요주중사회단체적삼여，이급공개차류신식적작용。
Public hospital reform has been the main contents of current China’s health system reform. One of the aims and the difficult point of public hospital reform is to eliminate their“for-profit” motivation.“For-profit”public hospital may result from inadequate reimbursement from government and complicated behavior,which is related to uncertainty and information asymmetry in medical health care. It is necessary to identify the value,cost and reasonability for medical health services in public hospitals from social perspective through hospital evaluation. In addition,it is also suggested that public hospital evaluation concern quality,efficiency,social involvement,and impact of its information openness.