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构建我国“非营利性”医院的组织框架
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【内容提要】本文问题的提出基于2000年国务院《关于城镇医药卫生体制改革的指导意见》决定在我国实行医院的“营利性”和“非营利性”分类管理。论文阐释了“营利性”与“非营利性”的概念内涵,追溯了国外“非营利性”医院的历史渊源并简要归纳其运作机制,在此基础上,分析“非营利性”医院与我国原有的福利性质医院的关键差别,指出我国目前医疗卫生机构改革中,医院分类管理的核心问题是如何在政府退出对医疗机构运作的完全责任的同时,保证医疗卫生服务的公益性质。本文从“非营利性”组织的特征与运作机制出发,试提出我国医院“非营利”化的组织与制度框架。 关键词:非营利性,非营利性医院,医院分类管理,医疗卫生机构改革 【Abstract】This article risen from the enaction of the Decision of the Reform of Medical Care System in Town in 2000, which divides China’s hospitals into profit and non-profit categories. The article expounded the concept of “profit” and “non-profit”, reviewed the history of non-profit hospitals in other countries, and summarized the characteristics of non-profit hospitals. Based on this, the article compared the “non-profit” hospital with the all-free hospital service in planned economy. It suggested that the key problem in classified management of hospitals in the reform of medical care system is how to keep hospitals public beneficial while the government failed to take all the responsibilities in the market economy. Based on the characteristic of “non-profit” organizations, this article try to give an organizational framework for China’s non-profit hospital system.
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