社区卫生服务机构实行收支两条线管理面临的障碍分析  

Analysis of the Barriers in the Implementation of Separation of Revenue and Expenditure Budgets (SREB) in Community Health Service ( CHS) Institutions

作　　者：尤川梅[1] 王芳[1] 姚岚[2] 朱晓丽[1] 黄薇[1] 林士惠[1] 

机构地区：[1]中国医学科学院卫生政策与管理研究中心医学信息研究所,北京100020 [2]华中科技大学同济医学院,武汉430030

出　　处：《中国卫生经济》2010年第2期44-47,共4页Chinese Health Economics

基　　金：社区卫生服务机构收支两条线管理实施障碍与对策研究项目(08R0107)

摘　　要：我国实践社区卫生服务机构收支两条线管理有3年多的时间,虽然取得了一定的成效,但实践中却面临了一系列的障碍问题,如在概念、认知、体制、制度等方面的固有的障碍;制度推行过程中政府、卫生、财政、医保、街道政府等各部门落实责任的障碍,社区卫生服务机构自身责任落实的障碍,收支两条线管理的配套制度实施后所带来的障碍性问题。随着许多地区逐步试行收支两条线管理,如何保证这一制度顺利实施,需要清晰认识这些障碍及问题,并采取有效的应对措施。SREB has been practiced in China for more than three years. Although, a certain degree of success has been achieved,there are still a series of barriers and problems during its implementation. Firstly, there are some innate barriers in terms of concept, recognition, systems and institutions related to SREB. Secondly, there are some barriers and problems in the process of implementing SREB, including the government, health department, financial department, medical insurance department and the street governments as well as the CHS institutions who don＇t fulfill their duties; accompanying systems of SREB bring about new problems after being enforced. As more and more regions begin to pilot SREB, the possible barriers and problems should be identified clearly and correspondingly, and efficient measures should be taken to ensure the smooth implementation of this system.

关 键 词：社区卫生服务机构 收支两条线管理 障碍 问题 

分 类 号：R197.2[医药卫生—卫生事业管理]