“一元钱看病”模式的制度设计与启示——广州市花都区医疗卫生改革分析

System Design and Enlightenment of’One Yuan Medical Service’Modelof Village Health Stations in Huadu District of Guangzhou

从2008年开始试点,广州市花都区开展村卫生站免费为农民治病工作,农民在村卫生站看病只需交一元钱。十年来,为保障“一元钱看病”模式的正常运行,花都区边实践边完善,建立了较为成熟的筹资渠道、支付标准、人事管理、基本药物制度、信息系统、绩效考核等配套措施,拓展了村卫生站的服务内容。花都区的做法筑牢了农村三级医疗服务网的网底,促进了分级诊疗秩序的建立,有效地缓解了农民看病难看病贵的问题,为我国农村地区建立基本医疗卫生制度提供了有益借鉴。

Since 2008,a pilot project had been launched in Huadu district of Guangzhou to provide free medical care for farmers at village health stations,where they only needed to pay one yuan for service.In the past ten years,Huadu district explored and established mature supporting mechanisms,including financing,payment,personnel management,basic medicine system,information system and performance appraisal system,and expanded the service content of village health stationsto ensure the good running of the'one-yuan medical service'model.The practice of Huadu district strengthened the foundation of the three-level medical service network in rural areas and promoted the establishment of hierarchical diagnosis and treatment order,effectively alleviated the problem of the difficulty and high cost of medical treatment for farmers,and provided beneficial reference for the establishment of basic medical and health system in rural areas of China.