浙江省公立医院慈善医疗救助现状与政策建议

Current Situation and Countermeasures of Charitable Medical Assistance in Public Hospitals in Zhejiang Province

在医疗卫生体制改革进入深水区的新形势下,要求公立医院回归公益本质和体现医学人文精神的呼声日趋高涨,公立医院在慈善公益工作方面的投入日益增多。为了解浙江省公立医院慈善医疗救助工作开展现状,促进慈善医疗救助工作更好地发展,课题组先后对浙江省卫生厅和杭州、温州、台州等城市的数十家大型公立医院进行了走访调研,形成多篇访谈记录,充分了解目前公立医院慈善医疗救助的开展方式、资金来源和救助对象等,在此基础上讨论分析现行慈善医疗救助体系存在的主要问题,归纳出目前公立医院慈善医疗救助开展面临的救助工作零散、救助范围狭窄等困境,并从政府、慈善组织、公立医院等方面对现行慈善医疗救助体系提出了加强政策导向、完善法律法规、设立慈善工作部门、完善慈善基金管理体系等具有针对性的对策建议。

In the context that medical and health system reform is furthering, the voice that hospitals should return to public welfare nature and embody medical humanism is growing. The investment of public hospital in charity work is also increasing. To learn the current situation of charitable medical assistance work in some public hospitals in Zhejiang and promote it to a better development, the research group has investigated Health and Family Planning Commission of Zhejiang Province and more than ten large public hospitals in Hangzhou, Wenzhou, Taizhou and some other cities. On the basis of a number of interviews records and fully understanding of the process, funding sources and rescue objects of the current public hospital charity medical assistance, main problems of current charitable medical assistance system were discussed and analyzed. Existing difficulties in the process of public hospital charitable medical assistance were summarized, such as there are many chores in assistance work and the assistance coverage is small. Several targeted suggestions were put forward from the perspective of government and public hospitals including strengthening policy guidance, refining laws and regulations, establishing a charity department and improving the management system of charity fund.