CAJ | 학술논문

描述了我国公立医院的角色定位,对公立医院补偿机制、管理体制、运营机制等问题进行了探索,认为需要合理均衡政府、社会和个人支出在卫生费用中的比例,合理把握资金投向,积极推进按疾病诊断相关分组支付医疗费用;准确区分公立医院的所有权、经营权、决策权、监督权等,建立有效的激励和监管机制;进一步落实院长负责制和目标责任制,建立灵活的用人机制和分配机制,建立完善的质量管理机制,建立严格的费用和成本控制机制,建立科学的人才培养机制.
묘술료아국공립의원적각색정위,대공립의원보상궤제、관리체제、운영궤제등문제진행료탐색,인위수요합리균형정부、사회화개인지출재위생비용중적비례,합리파악자금투향,적겁추진안질병진단상관분조지부의료비용;준학구분공립의원적소유권、경영권、결책권、감독권등,건립유효적격려화감관궤제;진일보락실원장부책제화목표책임제,건립령활적용인궤제화분배궤제,건립완선적질량관리궤제,건립엄격적비용화성본공제궤제,건립과학적인재배양궤제.
A description of the positioning of public hospitals in China, and an exploration of such issues as their compensation mechanism, management system, and operation mechanism. The authors hold that it is imperative to maintain a reasonable balance of the government, society and individuals in their share of healthcare expenditure, prioritize funding recipients, and encourage medical cost payment based on disease diagnosis groupings; to precisely distinguish the ownership, operation right, decision right, and supervision right of public hospitals, for building an effective incentive and supervision mechanism; to further consolidate the president responsibility system and target responsibility system, build a flexible talent use system and distribution mechanism, build a better quality control mechanism, a strict expenditure and cost control mechanism, and a scientific talent development mechanism as well.