Public Hospital Reform: Compensation Mechanisms And Personnel System Is The Key
Public hospital reform as health care reform campaign of the 16 pilot cities in the country started, the reporter interviewed found that the difficulties of this reform mainly concentrated in the investment and compensation mechanism for the establishment of two health care systems and personnel system reform The key issue, which is the reform of the two sensibilities.
Government should buy the number one public hospital
Interview with this reporter learned that in the Jiangsu Zhenjiang, Zhenjiang in the input mechanism, the government’s financial investment in public hospitals, to ensure annual growth rate higher than the regular budget expenditure growth. And encourage social capital, including domestic and foreign medical institutions, management groups, research institutions and other social capital Cooperation , Hosting, restructuring and other forms of participation in the Group’s reform and development.
This, the First People Hospital of Zhenjiang City, lost husband that government investment and compensation mechanism is in place, is to establish the key public service in public hospitals, or hospital in order to survive had to walk for profit target market of the old road. Of course, the hospital is not realistic because the Government and nurturing, the Government would be no such a big financial and nurturing a large medical institutions?
Therefore, loss of husband’s proposal to establish long-term investment and compensation mechanism, open to the community health care resources, encouraging investors to participate in various forms of medical reform, the common set up medical institutions, is the future direction of development.
Industry analysis, Zhenjiang relatively easy to reform, above all, a small urban population, only 200 million people, the burden is not heavy. Second, rich in medical resources, only has seven public hospitals in urban areas, including two tertiary medical centers. Also, reform of basic good, as early as a decade ago that the country Health Insurance Reform pilot cities, medical reform in the nation, which for the reform of public hospitals to lay a foundation.
Reporters on the same issue with other pilot cities also made a telephone exchange. Maanshan Municipal Health Bureau, a husband, surnamed Li, told reporters that the reform of our public hospitals across the country start earlier, in 2008 began to implement, was to meet the state-owned enterprises, the reform of state-owned enterprises belong to the hospital as a breakthrough. Ma On Shan is a heavy industry city because, many industrial and mining enterprises, corporate-owned medical institutions account for almost half of the city’s public hospitals, while public hospital services to force them backward onto a joint-stock reform. After the reform, significant changes occurred in the hospital performance, the implementation of performance pay since the employee’s work ethic and efficiency greatly increased, eating the same big pot in the past when it can not be compared.
At the same time, Mr Lee also pointed out that “Despite our early start, but the compensation mechanism for public hospitals is still difficult, in the end how the compensation point of balance between the government and the market in which, people can get affordable, efficient Which priorities and fairness? so the issue needed further exploration. ”
According to February 23 the Ministry of Health, the National Development and Reform Commission jointly issued by other units, “the pilot reform of public hospitals, the guidance,” public hospital reform is necessary to highlight the public welfare.
I understand that at present China has 14 086 public hospitals, which has 2.73 million beds, the hospital health staff 346 people, so much of the base, the government may have to come up with the number of funds to compensate, which so far remains uncertain .
Institute of Hematology, Chinese Academy of Medical Sciences researcher Zhong-Chao Han recent interview that the previous lack of state investment in public hospitals, the hospital is self-financing, to address staff salaries and daily expenses, the hospital only by scaling through the scale to get the survival, the results become large and medium enterprises. Compensation mechanism for the future of public hospitals should be involved in important aspects of the reform.
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