安徽省县域医改模式探讨及成效分析  

Model and effectiveness analysis of countywide healthcare reform in Anhui province

作　　者：陈迎春[1] 李浩淼[1] 高红霞[1] 施利群[1] 刘露华 常静肼 张慧[1] 苏岱 金廷君 

机构地区：[1]华中科技大学同济医学院医药卫生管理学院湖北省人文社科重点研究基地农村健康服务研究中心,武汉430030

出　　处：《中华医院管理杂志》2017年第7期481-485,共5页Chinese Journal of Hospital Administration

基　　金：国家自然科学基金（71673101）;国家社会科学基金重大项目（15ZDC037）

摘　　要：分析了安徽省自2015年以来实行的县域医改模式，改革的基础是新型农村合作医疗（以下简称＂新农合＂ ）管理体系与县域卫生服务管理体系的整合，其核心是县域医疗服务共同体新农合基金按人头总额预付制度。改革促使县域医疗服务机构从逐利创收转向控制成本、提高服务质量、注重疾病防控与居民健康维护。接下来应进一步提高资金结余界定的合理性、利益分配的合理性和县域卫生人才培养等问题。The countywide healthcare reform in Anhui province since 2015 was analyzed in the paper. The reform is based on the integration of healthcare management system and health service system of the new rural cooperative medical system （NCMS）. The core of reform is regional global per capita budget of NCMS. The reform promotes the county′s healthcare institutions to shift from profit oriented to costs control, improves their quality of care, emphasizes disease prevention and control, and maintains residents health.Next, we should pay attention to the rationality of funds balance and benefits distribution, and the training of county healthcare personnel.

关 键 词：体系整合 县域医疗服务共同体 按人头总额预付 供给侧改革 安徽省 

分 类 号：R197.1[医药卫生—卫生事业管理]