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在市场经济与计划经济并存的背景下,财政投入的增加并未与医疗服务价格调整和薪酬管理体系改革相配套。医疗改革之所以被称为世界性难题,主要与医疗涉及的个人、医疗提供方和支付方三者价值认同不一致有关。就中国公立医院而言,其发展目标与社会目标间也存在一定矛盾。简而言之,公立医院的发展目标可以概括为两个方面。其一是满足区域内公众的医疗服务需求、承担公卫保健和灾害救助等社会责任;其二是购置先进
Against the background of the coexistence of market economy and planned economy, the increase of financial input did not match with the adjustment of medical service price and reform of salary management system. The reason why the medical reform is called a worldwide problem is mainly caused by the inconsistency in the value recognition of the three individuals involved in medical treatment, the provider of medical treatment and the payer. As for public hospitals in China, there are also some contradictions between their development goals and their social goals. In short, the development goals of public hospitals can be summarized in two aspects. One is to meet the needs of the public for medical services in the region, bear the social responsibilities of public health and disaster relief, and the other is to purchase advanced