目的:为全国范围内的公立医院体制改革提供借鉴。方法:分析张家港乡镇医院的改制思路,在此基础上归纳出3种改制模式——民营化、镇办镇管、中外合资,并分析其改制成效。结果与结论:张家港改制后的乡镇医院在完善医疗保障和药品管理制度、改革医院管理体制和运行机制及创造和谐医患关系等方面取得的成效可以为推进我国公立医院改革提供参考。
OBJECTIVE: To provide reference for systematic reform in national state-owned hospital. METHODS: System reforms of township hospitals in Zhangjiagang were analyzed. Then three kinds of reform modes were summarized including privatization, town-owned-town-management and sino-foreign joint venture. Reform effects were also discussed. RESULTS & CONCLUSIONS: The achievement that the reformed township hospitals have made in Zhangjiagang in improving the medical insurance and pharmaceutical management system, reforming hospital management system and operation mechanism and creating a harmonious relationship between doctor and patient can provide a reference for domestic state-owned hospital reform.