分级诊疗改革背景下的医联体薪酬管理研究
|
摘要
随着医联体改革推进,各省相继出台政策促进当地的医联体建设,但我国医联体建设仍存在薪酬管理不公平、缺乏激励机制、工具欠缺、制度不完善、差异化绩效激励制度缺乏和利益再分配不合理等一系列问题。通过剖析其中存在的主要问题,从不同角度提出对策建议,从而提高医生参与医联体改革的积极性,推进医联体改革进度。
With the advancement of the reform of medical joint bodies,provincial governments have issued policies to promote the construction of local medical joint bodies. How ever,there are still a series of problems in the construction of China's medical consortium,such as unfair salary management,lack of incentive mechanism,lack of tools,imperfect system,lack of differentiated performance incentive system and unreasonable redistribution of benefits. By analyzing the main problems,the author puts forw ard countermeasures and suggestions from different angles so as to improve the enthusiasm of doctors to participate in the reform and promote the progress of the reform of medical consortium.
With the advancement of the reform of medical joint bodies,provincial governments have issued policies to promote the construction of local medical joint bodies. How ever,there are still a series of problems in the construction of China's medical consortium,such as unfair salary management,lack of incentive mechanism,lack of tools,imperfect system,lack of differentiated performance incentive system and unreasonable redistribution of benefits. By analyzing the main problems,the author puts forw ard countermeasures and suggestions from different angles so as to improve the enthusiasm of doctors to participate in the reform and promote the progress of the reform of medical consortium.
引文
[1]寇宗来.“以药养医”与“看病贵、看病难”[J].世界经济,2010(1):49-68.
[2]陈天雄,黎东生,龙文磊,等.广东省“十三五”期间各级医疗机构总诊疗量预测[J].中国卫生资源,2017(4):304-307.
[3]孙亚玲,毛小明,方卫东,等.浙江省公立中医院综合医改补偿情况调查研究[J].中国卫生经济,2014(8):11-13.
[4]周绿林.加快医保支付方式改革的对策建议[J].中国医疗保险,2018(4):18-21.
[5]张华金.新型“医联体”财务管理模式的构建与实践:以三明医改为例[J].商业会计,2018(9):88-89.
[6]井淇,马安宁,孙经杰,等.结构变动视角下山东省医改前后卫生总费用筹资构成分[J].中国卫生经济,2017(12):46-48.
[2]陈天雄,黎东生,龙文磊,等.广东省“十三五”期间各级医疗机构总诊疗量预测[J].中国卫生资源,2017(4):304-307.
[3]孙亚玲,毛小明,方卫东,等.浙江省公立中医院综合医改补偿情况调查研究[J].中国卫生经济,2014(8):11-13.
[4]周绿林.加快医保支付方式改革的对策建议[J].中国医疗保险,2018(4):18-21.
[5]张华金.新型“医联体”财务管理模式的构建与实践:以三明医改为例[J].商业会计,2018(9):88-89.
[6]井淇,马安宁,孙经杰,等.结构变动视角下山东省医改前后卫生总费用筹资构成分[J].中国卫生经济,2017(12):46-48.