CAJ | 학술논문

介绍了目前浙江省县级公立医院改革的具体政策及实施进展,并对全省79个县市的卫生行政部门及参与改革的近300家医院所提交的县级公立医院改革自评报告等进行归纳总结,认为浙江省现行的改革政策主要是围绕经济运行机制改革开展的,其以药品零差率为突破口,实施了一系列的减少药品费用、调整医疗服务价格、落实财政补助、改革医保支付方式等具体政策,并取得了初步成效.但同时应注意到,对内部管理、上下联动协作、人事激励分配等新机制的配套政策研究,仍需进一步深入.
개소료목전절강성현급공립의원개혁적구체정책급실시진전,병대전성79개현시적위생행정부문급삼여개혁적근300가의원소제교적현급공립의원개혁자평보고등진행귀납총결,인위절강성현행적개혁정책주요시위요경제운행궤제개혁개전적,기이약품령차솔위돌파구,실시료일계렬적감소약품비용、조정의료복무개격、락실재정보조、개혁의보지부방식등구체정책,병취득료초보성효.단동시응주의도,대내부관리、상하련동협작、인사격려분배등신궤제적배투정책연구,잉수진일보심입.
Covered in the paper are the policies and progress of the county-level public hospital reform in the province,and a summarized analysis of the self-appraisal reports and hospital reform statements submitted by the health authorities and up to 300 hospitals in 79 counties of the province.As found in the papers,the ongoing reform in Zhejiang is focused on reforming the business models in place,seeking breakthroughs from the zero mark-up policy on drug sales,in addition to such policies as reducing drug costs,adjusting medical service pricing,financial subsidies,and medical insurance payment reforms.Despite the initial success,further policy studies are needed in terms of internal management,upper and lower linkage,and personnel incentives.