医改需要钱 到位是关键:对落实卫生投入政策的思考  

Money of Medical Reform in Place is Key:On the Implementation of the Investment Policy of Health

作　　者：张宗光[1] 李新民[2] 赵红征[2] 任彦孔[2] 曾庆义[2] 张绍军[2] 

机构地区：[1]河北大学医学部医学培训中心,河北保定071000 [2]河北省卫生经济学会,石家庄050051

出　　处：《中国卫生经济》2010年第12期5-7,共3页Chinese Health Economics

摘　　要：有些地方在落实卫生投入政策上,存在"打折扣,缺斤两"、"脚步慢,跟不上"、"单打一,不配套"、"雷声大,雨点稀"和"拆东墙,垒西墙"的问题。其主要原因是思想认识不到位,投入机制不健全,区域发展不平衡,财权事权不对称和问责机制不完善。文章建议完善问责机制,提高官员责任意识;建立稳定投入机制,做到合理投入;加大转移支付力度,动员社会力量扶贫;理顺财权事权关系,实现责权统一;注重整体效应,统筹兼顾各方利益。Problems exist in the implementation of health input policy in some places,such as ＂giving a discount and lacking one weight＂,＂the step is slow and can＇t keep pace＂,＂cocentrating on one thing only,not forming a complete set＂,＂the thnder is loud,the raindrop is rare＂,＂dismantling the east wall and building the west wall＂.The main reasons are the lack of understanding and thinking,imperfect input mechanism,uneven development in different regions,unsymmetrical finance and management power,and imperfect accountability.It is proposed to improve ask responsibility mechanism,raise officer＇s responsibility consciousness;set up investment mechanism steadily,and accomplish reasonable input;strengthen transfer payment,and mobilize the poverty alleviation of social forces;make the relation of duties and responsibilities of ownership of property in order,and realize unified responsibility right;pay attention to whole effect and each side＇s interests of making overall plans.

关 键 词：卫生改革 投入 政策 

分 类 号：R197.1[医药卫生—卫生事业管理]