| 摘要: |
| 以公立医院改革试点县A县的改革成果和影响入手，分析改革经验和形成的机制，为县级公立医院改革提供参考。A县以“控费提质”为核心，以“政策性突破”替代“体制性突破”的做法具有现实可行性，但目前“被动控费、挤压收入”的行政性改革将对县域卫生行业长远发展和当地居民远期利益产生不良影响。 |
| 关键词: 县级公立医院 改革 政策突破 一般路径 |
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| “Policy Break” Pathway of County Level Public Hospital Reform：a Case Enlightenment from A County |
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| Abstract: |
| Starting from the reform result and influence of A County of public hospital reform, the reform experience and forming mechanism are analyzed to provide references for county level public hospital reform. Through taking “controlling medical fees” as the core，replacing “policy break” with “mechanism break” has a realistic meaning and applicable value. But the administrative type of passive controlling fees and squeezing the income of medical workers will produce a negative influence for the long-term development of health industry and for the future interest of local people. |
| Key words: county level hospital level,reform,policy break,common path |
