浅述二级公立医院建立全面预算管理制度起步阶段的对策

The strategy about comprehensive budget management implementation at initial stage in the secondary public hospitals

我国医疗卫生体制改革进入新阶段,公立医院面临着新形势和新挑战。随着“三医联动”为抓手的新医改不断深化和医保支付制度改革推进,特别是实行按病种分值付费(DIP)对公立医院的医疗服务能力、医疗效率、成本控制、患者满意度和绩效设计提出更高的要求,成为当前公立医院深化改革,促进发展的重要内容。全面预算管理是控制成本和应对DIP结算压力的有效方法之一。通过系统梳理总结4年来推行全面预算管理取得较好成效基础上,参考有关文献资料,就二级公立医院建立全面预算管理制度起始阶段面临的困难与问题,关键环节,提出对策建议。

Our country’s medical and health system reform has entered a new stage,and public hospitals are facing new situations and challenges.With the continuous promoting of the“tripartite system reform”,the reform of the medical insurance payment system is advancing,especially greater demands are being needed on the medical service capacity,medical efficiency,cost control,patient satisfaction and performance design of public hospitals with executing Big Data Diagnosis-Intervention Packet(DIP),which has become an important content for public hospitals development.Comprehensive budget management is one of the effective Methods to control the cost and deal with the DIP settlement pressure.This article referenced relevant literatures,combined with the good Results of pushing comprehensive budget management for four years in the hospital,making countermeasures for problems and difficulties about the initial stage of establishing a comprehensive budget management system for secondary public hospitals.