浙江省基层医疗卫生机构补偿机制改革政策框架

Policy framework of the compensation mechanism reform for primary medical and health institutionsin Zhejiang province

在分析基层医疗卫生机构补偿政策和问题的基础上，阐述了浙江省基层医疗卫生机构补偿机制改革的政策框架，提出将“核定收入、核定支出、差额补助、绩效考核”的补偿政策，转变为“专项补助与付费购买相结合、资金补偿与服务绩效相挂钩”的新机制，并从转变政府职能、落实专项补助、实施分类购买、防范财务风险、完善配套政策等方面阐述了相关政策。在具体操作方面，建议重点处理好“补供方”和“补需方”、内部市场和外部市场等六对关系。

Based on an analysis of the compensation policy and its problems of the primary medical and health institutions, this paper put forward the corresponding reform framework in Zhejiang province. It proposed to change the compensation policy of ＂ predefining revenue and expenditure, subsidizing its gap after performance appraisal＂ into ＂a mixed system of special subsidy and pay for performance＂. Related policies were also described including governmental functions, special subsidies for input-based payments, classified payments for output services, precautions against financial risks, etc. This paper also suggested that we focus on dealing with the six pairs of balance, such as that between subsidy for the supply and demand sides, and that between internal market and external market.