中文摘要：

新医改环境下实现公立医院公益性已成为深化公立医院改革的重要内容。文章在系统文献复习和归纳总结的基础上,对当前公立医院公益性内涵进行了界定,对公益性淡化引起的医院经济效益和社会效益失衡、医院自我定位与政府定位背离、医患之间信任缺失与矛盾突出等问题进行了探讨,有针对性地提出了强化政府维护公立医院公益性主体责任,落实公立医院公益性载体责任,构建政府监管、供给竞争、保险购买＂三足鼎立＂医疗服务运行机制,＂逼＂与＂促＂双举措,鼓励公益性捐赠等推动公益性落实的建议,以期为进一步推动公立医院公益性落实提供借鉴。

英文摘要：

Under the new medical reform environment ,to achieve the commonweal of public hospitals has become an important part of the deepening reform of public hospitals. In this paper,based on systematical literature review and summarization ,we define the current connotation of public hospital commonweal and discuss some social problems, like the unbalanced situation between the hospital economic benefits and its social benefits caused by the desalination and virtualization of public hospital commonweal,the deviation of hospitals＇ self- positioning from government positioning,and the trust deficiencies and contradictions between doctors and patients. Then we put forward some corresponding suggestions,strengthening government＇s main body responsibilities and implementing public hospitals＇ carrier responsibilities in commonweal,constructing three- pillars（government supervision, supply completion and insurance purchase）medical service operation mechanism, facilitating the implementation of public hospital commonweal by such double initiatives as ＂force＂ and ＂promote＂ ,and encouraging the public welfare donation in a hope to further motivate the realization of public hospital commonweal.