摘要
基于医改现状和经验,提出了医改要聚焦重点问题,设定"有限"目标,一步一突破,分步骤实现医改最终目标;提炼了医保、医药、激励机制、社会办医等医改重点领域存在的问题,提出了医保支付设立个人自负封顶线以防范医疗经济风险、建立公立医院正向激励机制、构建合理药品价格的形成机制、对公立医院实行"计划生育"等政策建议。
Based on the experience and current situation of heahhcare reform, it was suggested that great emphasis should be laid on key issues. Setting limited targets, getting breakthroughs steadily and persistently and achieving the ultimate goal of heahhcare reform were also suggested. The key issues were summarized on the fields of medical insurance, pharmaceuticals, incentive mechanism and development of private medical institutes. It was recommended that a ceiling on out-of-pocket should be set so that the economic risk of medical expenditure could be avoided. Developing positive incentive mechanism, constructing reasonable pricing mechanism of pharmaceuticals and implementing "family planning" on public hospitals were also proposed.
出处
《中国卫生资源》
2014年第2期73-75,66,共3页
Chinese Health Resources
基金
上海市公共卫生重点学科建设(卫生经济学)基金资助项目(12GWZC601)
关键词
医改
支付方式
激励机制
定价机制
人才培养
社会办医
healthcare reform
payment
incentive mechanism
pricing mechanism
personnel training
development of private medical institute