医改之难世界各国都有领教,中国医改之难更是“个中翘楚”。我国公立医院普遍采取与经济效益挂钩的责任管理模式,其隐约呈现出的市场化特征显然与医改所倡导的公益性格格不入。这一管理模式直接导致医院以追逐利益最大化为第一要务,成为“看病贵”的最大 Difficulties in health care reform The world has a world experience, the difficulty of China’s medical reform is “a leader ”. Public hospitals in our country generally adopt the responsibility management mode that is linked with economic benefits. The vaguely marketized features are obviously incompatible with the public welfare advocated by medical reform. This management model led directly to the hospital to pursue the maximization of interests as the top priority, becoming “the most expensive”