上海市薄弱专科医院财政投入现状、挑战及对策

发布时间：2018-07-26 10:37

【摘要】：目的了解薄弱专科医院的财政投入现状,探索落实倾斜政策的路径。方法现场调研、专家咨询和深入访谈等方式。结果上海市财政对精神卫生、传染等薄弱专科医院提高了基本建设投入比例、优先扶持科教项目、提高基本支出比例等举措,使这些医院基本实现了收支平衡和医疗服务有序开展。然而,近期基本工资制度和社会保障制度调整、医药分开等改革举措给医院带来新的挑战。结论现行财政投入政策有一定的作用,但近期改革主要影响人力成本。建议短期内以绩效工资补偿为切入口,根据公益程度、经济运行状况等分梯度对薄弱专科医院进行补偿,同时加强公共卫生的补偿力度。
[Abstract]:Objective to understand the current situation of financial investment in weak specialized hospitals and to explore the path of implementing preferential policies. Methods the methods of field investigation, expert consultation and in-depth interview were used. Results Shanghai's financial institutions have increased the proportion of capital construction investment, given priority to science and education projects, and increased the proportion of basic expenditure in such weak specialized hospitals as mental health, infectious diseases, and so on. Make these hospitals basically achieve balance of payments and medical services in an orderly manner. However, recent reform measures, such as the adjustment of basic wage system and social security system and the separation of medicine and medicine, have brought new challenges to hospitals. Conclusion the current financial investment policy has a certain effect, but the recent reform mainly affects the manpower cost. It is suggested that compensation for performance pay should be taken as the entry point in the short term, and the weak specialized hospitals should be compensated according to the level of public welfare and economic operation, and the compensation of public health should be strengthened at the same time.
【作者单位】：上海市医学科学技术情报研究所·上海市卫生发展研究中心;复旦大学公共卫生学院;上海财经大学公共经济管理学院;上海市人口与发展研究中心;上海市财政局;上海市卫生和计划生育委员会;上海市发展和改革委员会;
【基金】：上海市第四轮公共卫生三年行动计划重点学科建设项目(15GWZK0901) 上海市卫生和计划生育委员会委托项目(2015028A)
【分类号】：R197.5

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