RESUMO
The continued release of demand for medical services had stimulated the development of public hospitals.In the context of insufficient government financial subsidies and inadequate hospital funds,some public hospitals tended to seek market-oriented financing support,but the contradiction between the nonprofit nature of public hospitals and the profitability nature of capital made the process of public hospital financing into a dilemma.Through the analysis of the connotation of public welfare in public hospitals and cases of PPP projects,it found that nonprofit of public hospitals did not completely exclude the profitability of capital,the market competition mechanism that capital profit behavior relied on was a prerequisite for the realization of the public welfare nature of public hospitals.Taking the advantage of market-oriented financing methods on the basis of insisting on the public welfare of public hospitals,the following measures must be taken:firstly,adhere to the government's dominant position in the direction of public hospitals;secondly,while introducing capital,it needed to focus on the reform and innovation of operational mechanisms;thirdly,convert the dividends that belong to the government into continued investment in public hospitals to support the realization of public welfare;fourth,com bined with the local government financial resources based on differentiated financing model.
RESUMO
In a case study of Phoenix Healthcare Group' s role in Beijing Mentougou District Hospital's reform,this paper systematically reviewed the PPP application in public medical service,revealing the problems found in the reform including concept deviations for public benefit,and sustainability of the business pattern.On such basis,the authors recommended from the perspectives of the government,hospital and society.Their recommendations cover policies on improving the supporting policies,reconstruction of the hospital mechanisms of motivation,income distribution and supervision,fostering efficient private medical enterprises and the third-party appraisers.These recommendations aim at improving PPP model in the reform of public hospitals in China.
RESUMO
The paper gives an account of the concept of the PPP model and its application abroad, discusses the feasibility of adopting the model in the investment construction of public hospitals in China, and argues on the basis of a detailed analysis that compared with the traditional model of government investment, the PPP model has the advantages of improving efficiency and quality, transferring risks, lowering costs, avoiding short-term investment decisions, making up for a deficiency in public funds, promoting reform, and bettering services. It will benefit the government departments, the public hospitals, the patients and the private investment sectors.