公立医院补偿机制制度变迁与路径优化研究

Compensation mechanism in public hospitals and path optimization system changes

补偿机制改革是公立医院改革的重点和难点,目前尽管强化公立医院的公益性,调整补偿机制等医疗改革已经开展,但是效果不是很明显.推进公立医院补偿机制改革有序、平稳、顺利的进行,已成为当前的一项重要课题.本文分析医院补偿机制的历史演进,考察我国公立医院补偿机制的现状及问题.在此基础上,并对目前补偿机制改革的动力及改革路径优化做出力所能及的思考.

The compensation mechanism reform is thekey and difficult point of the public hospital reform. Although current health care reform has been carried out including strengthening public welfare of public hospitals and adjusting the compensation mechanism, the effect is not very obvious. How to conduct the compensation mechanism reform orderly and smoothly has become an important topic. I have analyzed the historical evolution, the status and problems of the hospital compensation mechanism. On the basis I have made views and suggestions about the current drive and the path optimization for the compensation mechanism reform.