【摘要】 为应对国际金融危机,我国出台了一揽子经济刺激方案,医改政策加强了对基层医院的财政投入,打破了原有的医疗服务市场格局,特别是对中西部地区地市级城市公立医院的影响已初露端倪。县及县以下基层公立医院在国家巨额财政投入的拉动下,基本建设发展速度明显快于地市级公立医院,使地市级公立医院面临新的危机。这两大医疗市场的格局是此消彼长还是共同发展,本文试图立足国情,以科学发展观为指导,构建以地市级公立医院为龙头的泛集团化管理框架,探索一条以人为本,全面协调可持续发展的道路。更多还原

【Abstract】 Government recently announced a lot of measures to stimulate the economy in order to cope with the global financial crisis. One of the medical reform policies is to increase the state’s financial investment in primary level of hospitals,which may result in breaking down the market of medical service,especially for the public medical institutions in the prefecture-level of cities in west-middle part of China. With the substantial investment from the State Finance to the public hospitals located in county or countryside,infrastructure development is moving much faster than those situated in city,which make them to faces new crisis. Shall those two kind of medical institutions compete drastically or develop together in the future? Based on the current situation and scientific development viewpoint,the paper aims to make up the extensive group management frame with the leadership by public medical institutions in prefecture-level city and to discover the correct direction to the sustainable development and comprehensive harmony.更多还原