摘要
从供求矛盾是县域医药卫生事业的主要矛盾、行政管制是县级公立医院发展的体制性障碍两方面分析了目前我国县级公立医院的改革形势,认为优化行政管制和破除行政管制是克服残缺型行政管制缺陷的两条主要路径,以治理型市场化为主要内容的破除行政管制路径符合县域医药卫生事业发展的主要矛盾,而且有利于实现公益性和积极性并重和均衡,也是县级公立医院管理体制改革的必然选择。
Substantially, medical insurance payment methods is an medical resources allocation mechanism and it can promoting system and mechanism reform in public hospital. Medical insurance post payment system as the pivot, performance based administrative system of public hospital can be established. And medical insurance pro-payment system as the pivot, governance oriented market mechanism of public hospital can be established. In view of coherence with value, institution and goal, two types of public hospital system and mechanism are compared and the author agree with governance oriented market mechanism.
出处
《中国医院》
2013年第9期21-23,共3页
Chinese Hospitals
基金
教育部人文社会科学研究项目"公立医院体制机制与医疗保险付费方式的适配性研究"(13YJCZH271)
广西高等学校人文社会科学研究项目"县级公立医院长效补偿机制的创构:基于医疗保险付费制度的研究"(SK13YB074)
关键词
县级公立医院
体制性障碍
破除路径
public hospital reform,medical insurance,payment method
