The Financing Difficulties and Coping Strategies for the Public Hospitals from the Perspective of Public Welfare
10.7664/CHE20180221
- VernacularTitle:公益性视角的公立医院融资困境及应对策略
- Author:
Ding-Qiang DUAN
1
;
Xia MAO
Author Information
1. 武汉纺织大学经济学院 武汉430200
- Keywords:
public hospital;
public welfare;
profit-driven;
financing difficulty;
social capital;
PPP model
- From:
Chinese Health Economics
2018;37(2):77-80
- CountryChina
- Language:Chinese
-
Abstract:
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.
