摘要
“总量控制、结构调整”政策实施近４年，取得了很好的成效。表现在：首先，政府方面，一定程度上解决了卫生系统的补偿问题，促使卫生资源合理利用，相应地减轻了政府财政的压力；另外，由于费用的控制亦有利于与医疗保障制度改革相衔接。其次是医疗机构，使医务人员的劳务价值得以体现，同时也促使医院加强内部管理，使广大人民群众得到了实惠。再次是给企业减轻了经济负担。当然，这个政策在获益的同时，也存在些问题。从政府方面而言，财政投入相对萎缩未得到解决，物价体系亦未建立相应的定价机制等。而医疗机构方面存在诱导需求等问题，淡化了政策的效果，加剧了新的分配不公。再者，从更深层的角度来讲，何为医疗费用的合理增长的问题尚待进一步研究。
Good results have been
achieved since the implementation of the policy of 'total quantity control and structure
readjustment'almost four years ago.Firstly,so far as the government is concerned ,the problem
of compensating the departments of health and affiliated organizations has been solved to
some extent,resulting in the rational use of health resources and reducing correspondingly the
financial burden of the government.Besides,the control of costs has been beneficial to the
linkup with the reform in the medical security system.Secondly, so far as medical institutions
are concerned,the value of the work done by the medical workers has been reflected.At the
same time hospitals are impelled to strengthen internal management,which benefits the broad
masses of the people.Thirdly, the financial burden of the enterprises has been reduced.Of
course, problems still exist in implementing the policy.On the part of the government,the
problem of a relative shrinkage in financial input remains unsolved and the price system has
failed to establish a corresponding pricing mechanism.On the part of medical
institutions,problems like inducing demands still exist,playing down the effect of the policy and
intensifying new unfair distribution.In addition,from a more profound perspective,further studies
remain to be made on the issue of what constitutes a rational increase of medical costs.
出处
《中华医院管理杂志》
北大核心
1999年第8期473-475,481,共4页
Chinese Journal of Hospital Administration
