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总结并报告了在广东省内完成的主要针对医疗卫生系统高级管理人员的529份问卷调查和3家医院案例研究的结果。验证了作者此前提出的“冰河模型”假说;显示出“政府的政策/定位的影响”是解决中国公立医院面临的九类问题的关键所在;表明公立医院产权形式多元化是未来的发展趋势,也是解决中国公立医院面临的九类问题和挑战的必需。“法律”和“制度”是保证公立医院产权多元化变革的最为关键的因素,同时,社会保障体系的进一步完善是保证医疗卫生供给体系改革的前提保障。
The results of 529 questionnaire surveys and three hospital case studies conducted mainly in the senior health care system in Guangdong Province were summarized and reported. Validated the author’s previously proposed “glacial model” hypothesis; shows that “the government’s policy/positioning influence” is the key to solving the nine types of problems facing public hospitals in China; demonstrating that the diversification of property rights in public hospitals is the future. The trend of development is also necessary to solve the nine types of problems and challenges facing public hospitals in China. The “law” and the “system” are the most crucial factors in ensuring the transformation of property rights in public hospitals. At the same time, the further improvement of the social security system is a prerequisite to ensure the reform of the health care supply system.