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在当前卫生经济体制改革中,有人提出:既然集体所有制卫生院实行独立核算、自负盈亏,就应该象五十年代的联合诊所那样,完全取销“国家补助”。究竟国家对卫生院应否给予补助?如何补助?这里谈一点个人粗浅的看法。我认为当前集体所有制公社卫生院,既不同于集体所有制的农工商企业,也不同于五十年代的联合诊所。因此,在实行“独立核算,自负盈亏”时,也有它的特点。保持国家补助是必要的、合理的。
In the current reform of the health economic system, it has been suggested that since the collectively-owned health center implements independent accounting and assumes sole responsibility for its own profits and losses, it should completely withdraw the “state subsidy” as it did in the joint clinics of the 1950s. After all, whether the state should grant subsidies to health centers and how to subsidize them? Here we talk a little superficially. I think that the current public hospitals of collectively owned communes are not only different from collectively-owned agricultural and commercial enterprises, but also different from the joint clinics of the 1950s. Therefore, in the implementation of “independent accounting, self-financing”, it also has its characteristics. Maintaining state subsidies is necessary and reasonable.