公立医院是我国医疗卫生服务体系中最重要的组成部分,对我国医药卫生事业发展和增进人民健康发挥了不可替代的作用。公立医院改革是深化医药卫生体制改革的重点和难点,其成功与否,关系医改全局,影响医改成败。随着公立医院改革进程的推进,一些深层次的问题逐渐显露出来。主要表现在:一是卫生资源配置不合理,未形成有序的分级诊疗体系,公立医院存在大规模扩张的趋势;二是政府投入不到位,未形成合理的服务价格定价机制和 Public hospitals are the most important part of China’s medical and health service system and play an irreplaceable role in the development of Chinese medical and health undertakings and in promoting people’s health. Public hospital reform is to deepen the medical and health system reform of the key and difficult, its success or not, the relationship between the overall medical reform, the success or failure of medical reform. With the progress of public hospital reform, some deep-seated problems have gradually emerged. Mainly reflected in: First, the allocation of health resources unreasonable, did not form an orderly grading diagnosis and treatment system, public hospitals there is a large-scale expansion trend; second is the government investment is not in place, there is no reasonable service pricing mechanism and