福建省县级医院开展新农合支付方式改革的SWOT分析

SWOT analysis of new rural medical cooperative system payment reform in county hospitals in Fujian Province

[目的]了解县级医院在新农合支付方式改革中所处位置。[方法]采用SWOT分析法,对县级医院新农合支付方式改革的情况进行分析。[结果]优势:县级医院是城乡联动纽带和农村三级卫生服务网的龙头,群众基础较好,服务价格相对低廉。劣势:医务人员积极性不高,医疗技术人员缺乏,医院管理体制落后,群众对其信任度不高。机遇:新农合覆盖面广,国家政策支持,可借鉴其他省市经验,已研发新农合补偿方案测算活模板。威胁:试点医疗机构较少,病种(组)较少,覆盖面低,患者流向县外,信息系统有待进一步改造。[结论]县级医疗机构面对各种发展策略时应发挥自身优势抓住机遇,利用政策上的各种支持加强自身建设,并配合新农合管理部门探索适合本地的具体改革路子。

Objective To learn about the position of county-level hospitals in new rural medical cooperative system payment reform. Methods Analyzed the cases of new rural medical cooperative system payment reform in county hospitals by SWOT methods. Results Advantage： as the link of urban and rural county and the leader of rural three-level health service network, country hospitals had a good mass base and services prices was lower. Disadvantage： medical staffs lack of motivation, lack of medical technician, backward in hospitals＇ management system and the mass confidence degree was lower. Opportunity： new rural medical cooperative system covered widely, our government support it, use for reference from other cities and studied flexible model of new rural medical cooperative compensate plan. Threaten： experimental medical institution were less, as well disease varieties, covering square were low, patients went out of the county and information system should be improved. Conclusions county-level health care institutions should seize the opportunity when they face all kinds of development strategies, play their advantage. Strengthen self-construction through all kinds of policy support. Explore the specific reform way which suit local situation, combine with new rural cooperative administrative department.