精神卫生防治财政保障“义乌模式”的思考与推广探讨  

Study on "Yi Wu Model" on financial guarantee of mental health

作　　者：张君闻[1] 严俊[2] 肖泽萍[3] 张明园[3] 徐一峰[3] 谢斌[3] 马进[1] 

机构地区：[1]上海交通大学公共卫生学院,上海200025 [2]卫生部疾病控制局,北京100044 [3]上海精神卫生中心,上海200030

出　　处：《中国卫生资源》2009年第2期64-66,共3页Chinese Health Resources

基　　金：卫生部政策法规司“探索浙江省卫生发展道路研究”课题基金资助项目,项目编号:2007HP004;卫生部“中国精神卫生政府财政保障机制研究”课题基金资助项目,项目编号:2005JW03;上海市教育委员会文科重点课题“上海市精神卫生政府财政保障机制研究”课题基金资助项目,项目编号:2006SHWK01

摘　　要：目的:探讨"义乌模式"在全国精神卫生防治财政保障中的推广可行性。方法:在介绍义乌市对精神卫生机构、精神障碍患者及其家属的补偿方式及水平的基础上,分析其特点和存在问题,总结启示和探讨在全国范围内推广适用条件。结果:在"收支两条线"管理模式下给予机构更多自主权;全额拨款水平根据经济发展水平逐年增长;引入内部竞争机制,激励员工和提高绩效;非户籍常住精神障碍患者应被纳入保障体系。结论:在全国范围内推广应注意:收支两条线的管理模式适用基层精神卫生机构;全额拨款需要经济支撑;提高对患者的补助政策的可操作性。Objective： To study the application of Yi-wu model on financing practice of mental health treatment and prevemtion; Methods： Based on analyzing the investment and reimbursement of mental health institution, patients and their family member in Yi-wu, exploring their strength and issues in this system and preeonditions when its extend to the broad areas; Results： Mental health institution should provide more independenee under the management model of seperation of revenue and expenditure; government investment need increase follows the economic growing; and non residency registered patients should be eonvered in this system; Conclusions： The management model of seperation revenue and expenditure adequate in the basical mental health institutions ; whole coverage input need support by the local economic level; and more feasible policies should be development for mental patients.

关 键 词：精神卫生 财政保障 推广 

分 类 号：R749[医药卫生—神经病学与精神病学] F812.4[医药卫生—临床医学]