我国公立医院财政补偿机制理论与现状分析  

The Theoretical and Practical Analysis on the Finance Compensation Mechanism of Public Hospitals in China

作　　者：陈瑶[1] 朱晓丽[1] 肖龙华[1] 

机构地区：[1]中国医学科学院卫生政策与管理研究中心,北京100020

出　　处：《医学与社会》2010年第12期36-39,共4页Medicine and Society

摘　　要：从公共财政本质属性、健康权、社会公平以及制度设计4个角度梳理公立医院财政补偿机制的理论基础,强调公共财政直接补偿公立医院的必要性和重要性。在理论分析的基础上构建公立医院财政补偿机制理论框架,认为政府应在公立医院财政补偿机制中发挥公益性的财政保障者、稳定制度的供给者和资金使用的监管者3方面职能。根据理论框架,认为目前我国公立医院财政补偿机制,由于公共财政财权与卫生事权分离、经济区域化和激励机制不完善而存在投入不足的问题;从制度设计和监管角度分析,存在缺乏科学、有效的补偿依据和资金投入监管机制的问题。This paper summaries relative theories from public finance,health right,social justice and institutional design,underlining the necessity and importance of public finance directly compensating public hospital.According to the theoretical analysis,the paper establishes the theoretical framework of finance compensation mechanism of public hospitals,including finance provider,mechanism provider and fund regulator.Under the theoretical framework,the paper concludes that there are three problems existed in the finance compensation mechanism of public hospitals: insufficient total investment,lack of compensating standard and fund regulation mechanism.

关 键 词：公立医院 财政补偿 

分 类 号：R[医药卫生]