完善我国公立医院财政补助政策的思考.pdfVIP

里国卫生事业管理 2012 年第5 期(总第287 期) 完善我国公立医院财政补助政策的思考 湛志伟 (中国社会科学院社会学研究所，北京 1ω732) [摘要] 文章简要回顾了我国公立医院财政补助政策历程.针对当前公立医院财政补助存在比例偏低、基层财政 补助少、预算管理方式单-、补助机制不健全、资金监管盈待加强等问题，提出政府应从加大政府投入、实行投入倾斜攻 策、医保价格财政三方联动等方面多措并举.进一步完善政府公立医院补助政策，优化财政投入机制，以促进医院加强管 理，提高医疗服务水平.维护公益性质。 [关键词] 公立医院;财政;朴助政策 [中图分类号1 R 197 [文献标识码1 A [文章编号] 1004-4663 (2012 )05 - 327 -04 Thir也ing of peñecting our countηpublic h幅pital fiDancial subsidy policy./ Zhan Zbj-wei.IIThe Chin四eHeaI由 Service Management. Abstract Based on briefly reviewing the development of the financial subsidy policy on public h回pitals in China ,there are rnany problem8 can be listed here ,such 幽 the lack of the financial subsidy to public hospital. and on Ihe basic level ,Ihe budgel admini8lration i8 t∞ simple ， the subsidy system i8 imperfect ，由e supervi.ion of funds should be strengthened ,and so on. 币le陀fore rnany different m四sures should be taken by the govemmenl. For example ,the govemment inveslment should be increased ,favored polici田 should be CIII甘ed out ,and medical insurance ,price ,finance departments .hould endeavor logelher. lf 出em四surl四 above 田 taken ，由e 8ubsidy policy on public hospitals of govemment and financial system will be improved. Th e admini8tration of public h田pitals ， wh田e nature i. public welfare ,will be enhanced ,and the medical 四rvlC咆 level will also be improved by .uch me皿Ure8. Authors address lnslitule of 50cial Scien回 R四e田-ch ， Chine四 Academy or 50cial Sciences , Beijing , 1 ∞732 ， China Key word public h四pital ;finance; subsidy policy 低下IZI 。 建国以来，公立医院一直是我国承担社会公共卫生服务、 基本医疗服务和临床科研任务的主体，在保障人民群众健康水 1979 年，政府对公立医院改为实施全额管理，定额补助， 平方面发挥了重要作用。但是，上世