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大型公立医院是我国医疗服务任务最主要的提供者,是国家公共卫生医疗机构的主体,承担着社会基本医疗保障与公共卫生服务的重要任务。但是随着经济的增长,我国的医疗卫生事业却没有得到相应的发展,医院仍然需要靠自身的运营收入来维持绝大部分的成本开销,本质上还是一个和普通企业相类似的自负盈亏的经济实体,这也是导致看病难和看病贵的一个主要因素。导致这问题的发生除了财政对医院的补偿机制与社会保障体制的问题外,还与医院内部的管理有着很大的关系。对医院内部控制的优化是现阶段所必要的。
Large-scale public hospitals are the most important providers of medical service tasks in our country, the main body of national public health and medical institutions, and undertake the important tasks of basic medical insurance and public health services. However, with the economic growth, China’s medical and health services have not been developed accordingly, the hospital still need to rely on its own operating income to maintain most of the cost, in essence, is a self-financing economy similar to ordinary businesses Entity, which is also a major factor contributing to the difficulty of seeing a doctor and the cost of seeing a doctor. In addition to the financial compensation mechanism for the hospital and the social security system, this issue also has a lot to do with the internal management of the hospital. The optimization of hospital internal control is necessary at this stage.