我国县级公立医院发展的制度结构  

The Institutional Structure of the Development in Public Hospitals at County Level in China

作　　者：赵云[1] 

机构地区：[1]右江民族医学院公共卫生与管理学院,广西百色市533000

出　　处：《现代医院管理》2012年第6期14-16,共3页Modern Hospital Management

基　　金：广西教育厅课题(201010LX379)

摘　　要：优先发展县级公立医院是我国县域医药卫生体制改革的核心战略,必须从医疗服务供给、筹资和监管三个角度安排,确保县级公立医院优先发展的制度结构。构建医疗服务的横向竞争机制和纵向整合机制是县级公立医院发展的前提,改革医疗保险的付费机制是县级公立医院发展的关键,重构医疗机构的监管机制是县级公立医院发展的保障。Optimizing the development of public hospitals at county level is the core strategy for medical system reform in county areas in China,which should be arranged from the three points of medical service provision,fund raising,and supervision to guarantee the institutional structure of the optimized development in public hospitals at county level.Constructing horizontal competitive mechanism and vertical integrated mechanism is the premise for the development of public hospitals at county level.Reforming payment mechanism of medical insurance is the key to the development of public hospitals at county level and the reconstructing supervision mechanism for medical institutions is the guarantee of the development of public hospitals at county level.

关 键 词：县级公立医院 横向竞争 纵向整合 付费制度 监管机制 

分 类 号：R197[医药卫生—卫生事业管理]