导致公立医院经济运行困难的根本原因,主要是药品加成率下降;承担卫生公共职能支出增加;政府投入不足;现行医保结算制度造成医院资金周转困难等。解决亏损问题的关键,是健全公立医院的财政补偿机制;加强医院经济管理;让医务人员回归服务本位等。 The root causes of the difficulties in the economic operation of public hospitals are mainly the decrease of the rate of drug addition, the increase of public health expenditure on public health undertakings, the insufficient investment by the government, and the current medical insurance settlement system which makes the hospital’s capital flow difficult. The key to solving the problem of loss is to perfect the public hospital’s financial compensation mechanism, strengthen the hospital’s economic management, and return the medical personnel to the service standard.