县级公立医院改革的“政策突破”路径——以公立医院改革试点县A县为例  

“Policy Break” Pathway of County Level Public Hospital Reform:a Case Enlightenment from A County

作　　者：农圣[1] 江蒙喜 

机构地区：[1]右江民族医学院,广西百色533000 [2]国家卫生计生委卫生发展研究中心,北京100029

出　　处：《中国医院管理》2017年第7期28-30,共3页Chinese Hospital Management

基　　金：国家自然科学基金资助项目(71563056)

摘　　要：以公立医院改革试点县A县的改革成果和影响入手,分析改革经验和形成的机制,为县级公立医院改革提供参考。A县以"控费提质"为核心,以"政策性突破"替代"体制性突破"的做法具有现实可行性,但目前"被动控费、挤压收入"的行政性改革将对县域卫生行业长远发展和当地居民远期利益产生不良影响。Starting from the reform result and influence of A County of public hospital reform, the reform experience and forming mechanism are analyzed to provide references for county level public hospital reform. Through taking ＂controlling medical fees＂ as the core, replacing ＂policy break＂ with ＂mechanism break＂ has a realistic meaning and applicable value. But the administrative type of passive controlling fees and squeezing the income of medical workers will produce a negative influence for the tong-term development of health industry and for the future interest of local people.

关 键 词：县级公立医院 改革 政策突破 一般路径 

分 类 号：R197.3[医药卫生—卫生事业管理]