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陕西省子长县于2008年发起了以控制医药费用不合理增长为核心的公立医院改革。本文首先以子长县为蓝本,简要介绍了我国现行公立医院管理体制,并对我国改革开放以来的公立医院改革进行了简要的回顾。接着,以此为背景,分析了子长县公立医院改革的主要内容、具体成效以及存在的问题。在此基础上分析了子长县公立医院改革的特征及其对全国公立医院改革的启示。
In 2008, Zichang County of Shaanxi Province initiated the reform of public hospitals centered on controlling the unreasonable growth of medical expenses. This paper first takes the Zichang County as a blueprint, briefly introduces the current public hospital management system in China, and briefly reviews the reform of public hospitals since China’s reform and opening up. Then, based on this background, the main contents, specific achievements and problems of the reform of public hospitals in Zichang County were analyzed. Based on this analysis, the characteristics of the reform of public hospitals in Zichang County and its enlightenment to the reform of public hospitals nationwide are analyzed.