医药卫生体制改革是中国社会最关注的焦点问题之一。医改作为一项重大民生工程，具有长期性、艰巨性和复杂性，在7月28日召开的2012中国医院院长高层论坛上，全国政协副主席张梅颖指出，医药卫生体制改革最大难点是公立医院改革，公立医院的改革应加强其公益性，扭转过于强调医院创收的倾向。

Medical health system reform is the focus of attention of the Chinese society of the issue。Cure of the people's livelihood as a great project，Has long-term、The hardship and complexity，On July 28, 2012 China hospital at the top of the BBS，The Chinese people's political consultative conference vice President ZhangMeiYing said，Medical health system reform is the biggest difficulties in the reform of public hospitals，The reform of public hospital should strengthen its public benefits，Reverse tendency to put too much emphasis on hospital earned income。

　　公立医院是中国医疗服务体系的主体，也是体现公益性、解决基本医疗、缓解人民群众看病就医困难的主体。公立医院改革得好不好，直接关系到医改成败。作为医疗卫生服务终端的公立医院，集各种矛盾和问题于一身，成为医改绕不开的“堡垒”。全国政协副主席张梅颖表示：“目前医改的成果还是初步的、阶段性的，医疗改革仍然是当前乃至今后民生问题长期的焦点、难点之一。而难中之难、重中之重是公立医院改革没有同步跟上。这种滞后可能导致前期成果的抵消，比如公立医院逐利机制不破除，政府投入的大量资金被医疗机构、医药流通部门分割。因此，医药卫生改革最难啃的骨头就是公立医院。”

Public hospital is China medical service system of main body，Also reflect public benefits、Solve basic medical、Ease people's hospital difficult subject。Public hospital reform it well，Directly related to the success or failure of the cure。As a health service terminal of the public hospital，Set of contradictions and problems at a suit，Become a cure is not open around the“fort”。The Chinese people's political consultative conference vice President ZhangMeiYing said：“At present the results of the medical or preliminary、Phases of，Health care reform is still present and in the future the focus of people's livelihood long-term problems、One of difficult。And it is in、The list was not synchronous keep up with public hospital reform。This could lead to the early results lag offset，Such as public hospital for profit mechanism not break，The government invested a lot of money by the medical establishment、Pharmaceutical circulation department division。so，Medical health reform the most difficult task of bone is public hospital。”

　　北京大学光华管理学院教授、国务院医改专家咨询委员会委员刘国恩教授也认为当前中国医改最核心的问题就是资源的供应不足，不能够满足医疗服务需求急速增长的需要。从经济学的角度来看，医疗服务的供需矛盾发展一定是医患矛盾。扩大医疗服务的供应能力，是根本之道。“我们现在出现的问题根子在于供需矛盾很深，供需矛盾深不会处在需求本身上面，需求是一个客观的主体，它是随着生活方式的改变、基因谱的转变、老龄化，收入增长等等是必须发生变化而且总的趋势是不断发生变化的。所以任何一个医疗体制和医疗体系都必须不断地根据医疗服务需求的变化而迅速地做出改变。如果不能改变就不能适应医疗服务增长的要求，就会形成供需矛盾。我们对体制的改变，今天在进行，也会永远在进行。”

Beijing guanghua school of management (university professor、Cure of the state council experts consultative committee LiuGuoEn professors think current medical China is at the core of the resources in short supply，Can't meet the demand of the rapid growth of medical service needs。From the view of economics，Medical service, the contradiction between supply and demand of development must be doctor-patient conflicts。Expand medical service supply capacity，Is the basic way。“We now have root of the problem of the contradiction between supply and demand is deep，Deep in the contradiction between supply and demand will not demand on itself，Demand is an objective subject，It is with the change of lifestyle、The transformation of the genes spectrum、aging，Income growth, and so on are must change and the general trend is constantly changing。So any a medical system and medical system must constantly, according to the medical service the change of demand and rapidly, making changes。If you can't change can't adapt to the requirements of medical service growth，The contradiction between supply and demand can form。We change of system，In today，Will forever。”

　　公立医院要加强其公益性，就要扭转过于强调医院创收的倾向，政府对公立医院承担的公共卫生任务给予专项补助，让其成为群众医治大病、重病和难病的基本医疗服务平台。“首先是政府的责任，要确保公立医院运行有保障，执业医师有较高的积极性，是决定医改成败的关键因素；第二，改革以药养医的积弊，完全切断医药合谋的利益链条，让执业医师回归阳光，维护医道的尊严；第三，完善医院法人治理结构，按照现代医院管理模式进行重组，赋予其真正自主的业务经营权，切实维护公立医院的公益性；第四，降低公立医院比重，一些公立医院通过改制，在自然形成的竞争中优化格局。”(记者 张坤)

Public hospital to strengthen its public benefits，Will reverse tendency to put too much emphasis on hospital earned income，The government to public hospital for the public health task give special allowance，Let it become the masses to heal a serious illness、Serious illness, and difficult disease of basic medical service platform。“First is the obligation of government，To ensure that public hospital operation is guaranteed，Practicing doctors have high enthusiasm，Is the key to the success or failure of the cure of the decision factors；The second，Reform to raise any medicine doctor the，To completely cut off the interests of conspiring to pharmaceutical chain，Let practicing doctors' return to the sun，Maintain the dignity of to be；The third，Perfect the corporate governance structure of hospital，According to the management mode of modern hospital to restructure，Give the real right of autonomous business，Safeguarding the public benefits of public hospital；The fourth，Reducing the proportion of public hospital，Some public hospital through the restructuring，In a natural form of competition optimization pattern。”(Reporter ZhangKun)