"On the policy construction of""Cancelling Budgeted Posts"" in the public hospital:Origination, experience and expectation"
10.3969/j.issn.1674-2982.2017.01.002
- VernacularTitle:"公立医院""取消编制""的政策建构:渊源、经验与展望"
- Author:
Lei FENG
- Keywords:
Public hospitals;
Cancelling budgeted posts;
De-administration
- From:
Chinese Journal of Health Policy
2017;10(1):8-13
- CountryChina
- Language:Chinese
-
Abstract:
The institutional origin of Chinese public hospitals' management system of the budgeted post is the former Soviet Union's national economic budget management system, and the realistic origin is the realistic require-ments since 1949 . The reform experiece of both above suggests that the reform policy about cancelling budgeted posts in the public hospitals was not the result of the different pay, the same work dependeds on whether the budgeted post or not, but rooted in defects in management system of the budgeted post, which include the fracture of the ownership and the responsibility subject, the bottleneck of hospital decision-making ability, the obstacles of the talent flowing and separation of the payment system. This policy is only reform strategy of de-administration, rather than promoting the comprehensive marketization of public hospital. so the policy aboutcancelling budgeted posts is the beginning of comprehensive reforms about hospital corporate governance, medical security system, and medical service compensation. The specific methods of the medical service compensation will become the focus of the further reform. According to the foreign reform experiences and our reform practices, Policymakers would get health insur-ance and government purchase as the main compensation methods in future. However, because of the imbalance of e-conomic development, the diffcult of systematic reform, inertia obstacles of the old management system of the budge-ted post, we should make the comprehensive plans and cautiously advance the measures.
