卫生事业费分配结构调整的政策思考

Reflection on policy of structure adjustment for distribution of health recurrent budget

本文在对三省、三市和三县的卫生事业费调查研究和分析的基础上，对卫生事业费分配结构调整提出了以下改革思路：卫生事业费应考虑国民经济、人口和物价指数三个因素，保证其实际增长与国民经济同步增长对卫生院和合作医疗补助费所占的比重，结合农村地区卫生服务改革和医疗制度建立，应逐步上升，而医院经费结合医疗服务价格的调整等可逐年降低比重；控制卫生服务机构规模，提高卫生资源的利用效率；

suggstions about how to adjust the allocation structure of health recurrent were given ther surveying andanalyzing the health recurrent budget at three provinces , three cities and three counties. To ensure the factual increase of healthrecurrent synchronize with the growth of national economy, size of population and price index should be considered. With the healthcare reform in rural areas, the proportion of stheidies to township health centers and cooperative medical care should be graduallyincreased . However, the proportion of subsidies to hospital operation expenditure could be gradually decreasd with the adjustment ofmedical service price in cities. The scale of health instiutions should be controlled, and the efficiency of utilization of health resourcesshould be enhanced. The policy of subsidy and subsidies for special items to health institutions in poor rural areas should be carriedout by the govermment continuously.