如何激发公立医院参与医改的活力？理顺政府对医院的管理体制？如何缓解大医院看病难的问题？日前在此间举办的首届湘雅海峡两岸的医院管理高峰论坛上，来自全国的300多名医院管理专家及医院院长积极献言献策。

How to stimulate public hospital in the cure of energy？Straighten out of the management system of the government hospital？How to ease big difficult problem in the hospital？Has the first XiangYa held here on both sides of the Taiwan strait, peak BBS on hospital management，From all over the country more than 300 hospital management experts and hospital offered words of positive advice。

　　专家们认为，公立医院改革需要“内增活力，外加推力”，而当务之急，是要实现对医院分类评价、建立“职业化”的院长队伍，并从“增加总量，盘活存量”入手，缓解医疗资源紧张。

Experts think，Public hospital reform needs“Increase in energy，Plus thrust”，And that，Is to realize the hospital classification of evaluation、establish“professional”Dean of the team，And from“Increase the total amount，Revitalize the stock”of，Ease medical resources nervous。

　　北京协和医学院院长、中国科学院院士曾益新说，国内对于公立医院改革的模式和路径尚未形成共识，短期也难以形成共识。对于我国而言，经济社会发展水平差异巨大，不会存在一个放之四海而皆准的医改模式和路径。

Beijing union dean of the medical school、China CengYi academician of academy of sciences of opinions，For public hospital reform of domestic mode and the path has not been formed consensus，Short-term also hard to forge a consensus。For our country in，The development level of economy and society are great differences，Can't existence a universally applicable medical model and path。

　　曾益新认为，目前，医改存在局部实施、新旧制度并存的问题，经常是“头疼医头、脚疼医脚”，医院可能昨天整治抗生素滥用，今天清理收红包的医务人员，后天可能是重拳出击打击“药贩子”，往往造成“按下葫芦浮起瓢”的后果。虽然一定程度上减轻了相关问题的恶质后果，但不能从根本上解决问题，易造成整个制度体系自调节、纠错机制的弱化。

CengYiXin think，At present，Existing medical local implementation、The coexistence of new old system，Is often“Headache medical head、unrest”，The hospital yesterday antibiotics may the abuse，Today the red envelope medical staff clean，The day after tomorrow is probably the best way to blow“Drug traffickers”，Often caused“Press the gourd ladle float to the top”consequences。Although to a certain extent, reduce the related problems of the evil consequence，But can't fundamentally solve the problem，Easy cause the whole system since the regulation、The weakening of error correction mechanism。

　　曾益新建议，公立医院改革需要“内增活力、外加推力”，可以采用“从目标到手段”的逆向思维路径改革，从“保持公益性、调动积极性”的目标着力，理顺政府对医院的管理机制，破解逐利机制，通过建立评级体系，驱动公立医院模式、路径、制度的改革，实现自我调整、自我改革、自我完善。

CengYiXin Suggestions，Public hospital reform needs“Increase in energy、Plus thrust”，Can use“From the target to means”Reverse thinking path of reform，from“Keep public welfare、Firing enthusiasm”Goal to，Straighten out of hospital management mechanism of the government，Crack mechanism for profit，Through the establishment of the rating system，Drive public hospital mode、path、The reform of the system of，Realize self adjust、Reform yourself、Self perfection。

　　与会专家表示，公立医院改革首先要建立合理的医院分类管理制度，将各级医疗机构分为教学科研型医院(包括国家级医疗中心和部分省级医院)、区域性医疗中心(部分省级医院和地市级医院)、基层医疗中心(县区级医院)。

The experts say，Public hospital reform should establish the reasonable system of classified management of hospital，Medical institutions at various levels will be divided into teaching research hospital(Including national medical center and provincial hospital)、Regional medical center(Provincial hospital and class the hospital)、Basic-level medical center(County district hospital)。

　　其次，建立医院分类评价体系，依托卫生信息中心、医院管理研究机构等单位，组建医院评价中心，制定各类医院评价指标，把政府和群众希望医院做好的工作和目前医改的措施纳入评价体系，并依据其重要性给予相应的权重，建立我国公立医院的分类评价体系，通过独立开展医院年度评审，每年评比一次，并公布排序。

second，Establish hospital classified evaluation system，Relying on health information center、The hospital management research institutions, and other units，A hospital evaluation center，All kinds of hospital for evaluation index，The government and people hope the hospital good work and cure of the current measures into the evaluation system，Based on the importance and give corresponding weights，Establish a public hospital in China the classification of evaluation system，Through the independent in hospital annual review，Last year a，And published by the sort。

　　第三，通过医院评价，将各种要求渗透到医院，融入医院的每个流程和环节，形成一种制度和文化。同时，通过社会参与及舆论导向形成外部推力来推进公立医院的改革进程。

The third，Through the hospital evaluation，All sorts of requirements to penetrate to the hospital，Into the hospital every process and link，Formed a kind of system and culture。At the same time，Through the social participation and the guidance of public opinion to promote external form thrust the reform of public hospital process。

　　曾益新认为，通过建立医院分类评价体系，每年对外公布排序，保证医院的各项数据、评价过程和结果公开透明。将对医院形成压力，鼓励医院良性竞争。

CengYiXin think，By establishing hospital classified evaluation system，Every year, announced order，Ensure that the hospital various data、The evaluation process and the results open and transparent。Will form pressure to hospital，Encourage hospital healthy competition。

　　对表现好的医院，应该给予适当奖励；对有明显差距的医院(尤其在医疗安全和质量方面管理不善)，应有处罚措施。

To the performance good hospital，Should give appropriate reward；To have significant difference between hospital(Especially in the medical security and the quality of bad management)，Punishment measures should be。

　　当前卫生改革与发展的主要矛盾是人民群众日益增长的需求与优质卫生资源不足的矛盾。而目前的医院管理体制、运行模式，基本都是在计划经济时期形成的，没有真正升级更新过，严重影响了医院的运行效率。

The current health reform and development of the main contradiction is the people's growing demand and high quality health resources of conflict。The current hospital management system、Operation mode，Basic is in the planned economy period，No real update upgrade，Serious impact on the hospital's operating efficiency。

　　中南大学医院管理研究所所长、湘雅医院院长孙虹教授认为，目前，在我国还没有形成一套成熟的现代医院管理体制，医院管理培训机构的水平也参差不齐，公立医院改革是在“摸着石头过河”。相对于迅猛发展的医疗市场，医院管理模式相对滞后，成为医改的主要矛盾之一。

Central south university, director of the hospital management、XiangYa hospital director SunHong professor considered，At present，In our country have not form a complete set of mature modern hospital management system，The hospital management training organization's level also is uneven，Public hospital reform is in“Stepping stones across the river”。Relative to the rapid development of the medical market，The hospital management pattern relatively slowly，As one of the main contradiction cure。

　　孙虹教授分析指出，只能从大量的医院管理实务中摸索，以解决医院内部管理机制为突破口，健全医院运行体制，加快医院管理模式的转型升级，推进医院管理专业化，提升管理水平，提高管理效率，才能激发医院为群众提供高效、优质的医疗服务。

Professor SunHong pointed out，Only from a lot of hospital management practice exploration，To resolve the internal management mechanism as a breakthrough，Sound hospital operation system，To speed up the hospital management mode of the transformation and upgrade，Promote hospital management specialization，Promote the management level，Improve the efficiency of management，To stimulate the hospital for people with high efficiency、The high quality of medical care。

　　孙虹坚守建议，培养一批高水平的医院管理人才队伍，是建立现代医院管理制度的关键。目前，行业内优秀的管理者尤其是“职业化”院长非常稀缺，很多医院管理者实际上对管理是没有多少概念，培养高素质的本土医院管理人才，是对接我国医疗行业发展的重大战略需求。

SunHong stick to suggest，Train a lot of high levels of hospital management talent team，Is the establishment of a modern hospital management system of the key。At present，Excellent managers, especially in the industry“professional”Dean very scarce，Many hospital managers actually to management is not many concepts，Training of high-quality local hospital management talent，Is China's medical industry development docking major strategic needs。

“增加总量、盘活存量”缓解大医院看病难 “Increase the total amount、Revitalize the stock”The big relief hospital difficult

　　作为民营医院的代表，湖南旺旺医院院长李永国认为，患者释放的就医需求与医院的有限供给构成了医患之间的基本矛盾，大医院存在医疗资源不足与浪费并存的问题，加剧了“看病难”的问题。

As the representative of the private hospitals，Hunan prosperous hospital director LiYongGuo think，The release of the patients with hospital medical treatment demand limited supply constitute the basic contradiction between patient，Big hospital medical resources and existing problem of waste coexist，Intensifies the“Difficulties in getting”problems。

　　李永国说，在我国优秀医疗资源城乡、区域分布不均，长期以来，群众形成“有病就往大医院”跑的就医习惯；在利益驱动下，大医院普遍存在盲目扩张，盲目收治常见病、小病患者的问题，这就是所谓的“高射炮打蚊子”，不仅造成优秀医疗资源的浪费，更加剧了大医院“看病难”的表象。

LiYongGuo said，Excellent Chinese medical resources in urban and rural areas、Regional uneven distribution，long，Formed the“He is ill he went to the big hospital”Run to go to a doctor；In the interest of the driver，Big hospitals widespread blind expansion，Blind were common diseases、Ailment patients，This is the so-called“Anti-aircraft artillery hit the mosquito”，Not only cause outstanding medical waste of resources，More intensifies the big hospital“Difficulties in getting”representation。

　　李永国指出，解决大医院看病难的问题，要增加总量、盘活存量，做到物尽其才，人尽其用。(记者 帅才)

LiYongGuo points out that，Solve big difficult problem in the hospital sees a doctor，To increase the amount、Revitalize the stock，Do things out of the just，People do all it with。(Reporter command ability)