关于健全完善医改多渠道补偿机制的几点思考

发布时间：2019-06-24 18:25

【摘要】：2009年以来,随着新农合、居民医保、基本公共卫生服务等财政补助标准的大幅提高,医疗卫生机构综合改革的如期完成,公立医院改革试点的稳步推进,群众"看病难"、"看病贵"问题得到有效缓解,但存在的问题也不容忽视,主要是地方财政特别是县级财政支出压力逐年加大,医改补助资金足额落实出现困难;国库资金调度日趋紧张,医改资金及时拨付受到较大影响;基层机构人事分配制度改革尚未到位,花钱建机制效果还不理想;综合改革后村医收入下降明显,村医待遇有待进一步提高;落实"四个分开"难度较大,公立医院改革进展缓慢。作为财政部门来讲,应通过创新投入机制,健全完善多渠道补偿机制,为深入推进医药卫生体制改革提供资金保障和政策支持。
[Abstract]:Since 2009, with the sharp improvement of the standards of financial subsidies such as NCMS, residents' medical insurance and basic public health services, the comprehensive reform of medical and health institutions has been completed as scheduled, the pilot reform of public hospitals has been steadily promoted, the problem of "difficult to see a doctor" and "expensive medical care" has been effectively alleviated, but the existing problems can not be ignored, mainly because the pressure on local finance, especially at the county level, has increased year by year. It is difficult to implement the funds for medical reform subsidy in full; The dispatching of treasury funds is becoming more and more tense, and the timely allocation of funds for medical reform has been greatly affected; the reform of personnel distribution system in grass-roots institutions has not yet been put in place, and the effect of spending money on the construction mechanism is not ideal; after the comprehensive reform, the income of village doctors has declined obviously, and the treatment of village doctors needs to be further improved. As a financial department, we should perfect the multi-channel compensation mechanism through innovating the investment mechanism, and provide financial security and policy support for further promoting the reform of the medical and health system.
【作者单位】：邯郸市财政局;
【分类号】：F842.6;F812.45

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