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本文问题的提出基于 2 0 0 0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
The proposal of this paper is based on the State Council’s “Guiding Opinions on the Reform of the Urban Medical and Health System” of the State Council in 2000, and decided to implement the “for-profit” and “non-profit” classification management of hospitals in China. The thesis explains the concept of “for-profit” and “non-profit”. It traces the historical origins of foreign “non-profit” hospitals and briefly summarizes their operational mechanisms. Based on this, it analyzes “non-profit” hospitals and our country. The key difference of the existing welfare-type hospitals pointed out that the core issue of hospital classification management in China’s current reform of medical and health institutions is how to guarantee the public welfare nature of medical and health services while the government is withdrawing from the full responsibility for the operation of medical institutions. This paper starts from the characteristics and operational mechanism of the “non-profit” organization and tries to put forward the “non-profit” organization and institutional framework of the hospital in China.