公立医院薪酬改革的理论分析及实现路径

Theoretical Analysis and Realization Pathway of Payment Reform in Public Hospitals

从公立医院薪酬改革的逻辑入手,分析了医疗行业人才培养周期长、信息不对称、生产与消费同时进行、公益性等影响公立医院薪酬的行业特点及事业单位工资总额制度和人事制度、行政管制等制约公立医院薪酬改革的外部因素,进而提出提高医务人员透明薪酬水平、将薪酬改革与事业单位分类改革结合、适当提高需求型政策工具的比例、提高医疗机构自主权和落实医生多点执业等政策建议。

The article starts from the logic of salary reform,analyzes the characteristics of the public hospitals,such as the long period of talent cultivation, asymmetric information, simultaneous production and consumption,and public welfare,as well as the total salary system,personnel system and administrative control of public hospitals restricting the external factors in public hospital remuneration reform,and then puts forward the suggestions of raising the level of transparent remuneration of medical personnel,reforming remuneration and public sector,appropriately increasing the proportion of demand-oriented policy tools,improving the autonomy of medical institutions and implementing the doctor more practice policies.