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厘清全民免费医疗与公益性的边界在中国的语境下,与全民免费医疗最接近的概念是医疗卫生服务的公益性。然而,当前人们对公益性的理解存在偏差。政府强调公益性,指的是医疗服务不应全面市场化,不能牟取暴利,要有体制机制约束。普通民众爱听公益性,是将公益性误认为免费医疗,期望值无限提高。医院对公益性的认识通常局限于医疗行为中不能有收益或收益不足以保障医院生存的公益性活动,如教学、基础研究等。
Clarifying the Free Medical and Public Welfare Boundaries for All For the Chinese context, the concept closest to universal free medical care is the public welfare of health care services. However, there is a bias in current understanding of public welfare. The government emphasizes public welfare, referring to the medical services should not be fully market-oriented, can not reap huge profits, there must be institutional constraints. Ordinary people love to listen to public welfare, is the public welfare mistaken for free medical treatment, unlimited expectations. Hospital awareness of public welfare is usually confined to medical practices can not have benefits or benefits not enough to protect the survival of the hospital public welfare activities, such as teaching, basic research.