摘要
实现分级诊疗制度建设的突破,是"健康中国"战略中的五项基本医疗卫生制度取得突破的首要环节。但由于难度大,进展缓慢。分级诊疗成为难题的症结在于公立医院的垄断愈演愈烈,基层没有真正强起来,无力承担分级诊疗之重。医生多点执业难成气候,差异化的医保支付政策引导基层就医的作用微乎其微。要使分级诊疗制度建设实现突破,必须改革医疗管理体制,推进管办分开:公立医院去行政化,公立医院的医生由"单位人"变为"社会人",能够自由执业,医保定点由医院延伸到医生。
Breakthrough in the implementation of tiered medical services system is the most important part of Health China strategy.. However, due to the diffi culty, the progress is very slow. Why does it become a problem？ The crux lies in the monopoly of public hospitals and the community hospitals are not really strong which unable to bear the weight of tiered medical services. In order to make the construction of tiered medical services system to achieve a breakthrough, we must reform the medical management system, promote the separation of management and running, get rid of the drawbacks of current system. Public hospitals should go to the public, the public hospitals＇ doctors from ＂unit person＂ to ＂social man＂, and medical insurance designated hospital by extension to the doctor.
出处
《中国医疗保险》
2017年第5期5-9,共5页
China Health Insurance
关键词
分级诊疗
医疗管理体制
公立医院去行政化
医生自由执业
tiered medical services
medical management system
public hospitals go to the public
doctors are free to practice medicine
作者简介
胡大洋，中国医疗保险研究会副会长，江苏省医疗保险研究会会长，主要研究方向：医疗保险管理，医药卫生体制改革。
