社会办医政策环境的调查分析

Survey and analysis on policy environment of non-public hospitals

本文通过对东、中、西部地区172家社会办医疗机构进行问卷调查,分析其对社会办医相关政策的看法。调查发现,被调查机构最关切医保政策障碍,占总数的26.5%。不同地区、级别、经营性质社会办医疗机构对当前规划设置、医保准入、学科建设等方面政策需求不同。东部地区机构希望对规划有所突破,中部地区希望改变人才政策,而西部地区则认为受到土地政策限制。三级医院更关注科研项目和土地政策,二级医院则更关注准入政策。有44.8%的被调查机构认为监管政策比公立医院严格,而营利和非营利性机构对监管严格程度的感受没有差别。结合调查结果,本文提出了针对不同类型机构诉求细化政策、促进投入和购买服务等政策的落实以及加强非营利性机构监管等政策建议。

In this paper, 172 non-public hospitals have been investigated covering east, central and western regions with structured and semi-structured questionnaire and group interviews. We found that the health insurance policies were the most concerned policies by non-public hospitals, accounting for 26. 5% of the total. We also found that non-public hospitals from different areas, levels profit nature have different policy expectations, for example Eastern regional institutions wanted to make a breakthrough of the planning policies, the central region wanted to change the health personnel policy, while the western region is considered to be limited by land policy. Tertiary hos- pitals were more concerned about research projects and land policy, and secondary hospitals were more concerned a- bout access policy. There were 44. 8% of the surveyed institutions considered that regulatory policywasmore stringent public hospitals and public hospitals, and there were no difference between profit and non-profit hospitals. According to the survey results, this paper puts forward suggestion that we should implement more targeted policies, purchasing more services from non-public hospitals and enhanced supervision. Considering the survey results research team puts forward sensitive advice as ： provide preferential policies in according with different kinds of institutions reinforce purchasing service and enhance non-public hospitals supervision.