Research On The Government Investment To The Public Welfare Security Of Public Hospitals

Public welfare security is the starting point and foothold to establish public hospitals; people had higher requirements and more expectations on public hospitals when medical treatment has been becoming difficult and expensive increasingly fierce. However, the past two decades, it is the indisputable fact that the public welfare of public hospitals were weakening. Obviously, the return of public welfare has become the core proposition of the reform of public hospitals.Many reasons lead to weaken public welfare in public hospitals, such as the subject of government is unclear, lacking of direct investment, investment structure is unreasonable, inefficient investment and the function of public hospitals is unclear, all of above are the main reasons. Necessarily, when the medical service price is excessively low, medicines and materials become the main channel which the government invests, hospital and doctors'behavior marketability and benefit as well as public welfare desalination inevitably. So far, the recognition for public welfare of public hospitals is still unclear whether doctors or patients.The government is the subject for guarantying the public welfare of public hospitals, and public hospitals is the carrier. There is a dialectical relations between government investment and public welfare security of public hospitals which are interlinked and promote mutually. The degree of public welfare security is determined by the direct investment of government. From the purpose, process, results and other links to see, public welfare of public hospitals can be observed and evaluated, and protected. The core index is the low earning rate of public hospitals, and the profit is used for the hospital development, not for the welfare of the hospitals and medical staffs, and guaranteeing the public health service to complete with a high quality.The government should hold a certain number of public hospitals which undertake the main responsibility of funding raising and perform the functions of social public benefit on behalf of the government. This is the usual practice of other countries, especially developed countries. Most public hospitals are established by the government funding and maintaining operation. Comprehensive reference experiences from the developed countries and the planned economy period in China, increasing financial investment, shortening the battle line, adjusting the investment structure, and improving the investment efficiency etc., this is the only way for guarantying the public welfare of public hospitals.