浙江省县级公立医院改革政策及实施进展  

Policies and progress of the county-level public hospital reform in Zhejiang province

作　　者：杨敬 马伟杭 王桢 申屠正荣 俞新乐 徐飞鸿 

机构地区：[1]浙江省卫生和计划生育委员会,杭州310006

出　　处：《中华医院管理杂志》2014年第5期325-327,共3页Chinese Journal of Hospital Administration

基　　金：浙江省自然科学基金项目（J20130426）;浙江省医院可持续发展扬子江研究基金项目（2011ZHA-YZJ101）

摘　　要：介绍了目前浙江省县级公立医院改革的具体政策及实施进展,并对全省79个县市的卫生行政部门及参与改革的近300家医院所提交的县级公立医院改革自评报告等进行归纳总结,认为浙江省现行的改革政策主要是围绕经济运行机制改革开展的,其以药品零差率为突破口,实施了一系列的减少药品费用、调整医疗服务价格、落实财政补助、改革医保支付方式等具体政策,并取得了初步成效.但同时应注意到,对内部管理、上下联动协作、人事激励分配等新机制的配套政策研究,仍需进一步深入.Covered in the paper are the policies and progress of the county-level public hospital reform in the province, and a summarized analysis of the self-appraisal reports and hospital reform statements submitted by the health authorities and up to 300 hospitals in 79 counties of the province. As found in the papers, the ongoing reform in Zhejiang is focused on reforming the business models in place, seeking breakthroughs from the zero mark-up policy on drug sales, in addition to such policies as reducing drug costs, adjusting medical service pricing, financial subsidies, and medical insurance payment reforms. Despite the initial success, further policy studies are needed in terms of internal management, upper and lower linkage, and personnel incentives.

关 键 词：浙江省 县级公立医院 改革 政策 进展 

分 类 号：R197.3[医药卫生—卫生事业管理]