Policy framework of the compensation mechanism reform for primary medical and health institutions in Zhejiang province
10.3760/cma.j.issn.1000-6672.2018.09.001
- VernacularTitle:浙江省基层医疗卫生机构补偿机制改革政策框架
- Author:
Xiaoying PU
1
;
Ling HU
;
Yaming GU
;
Yanping WU
;
Ying LI
;
Yuedan XIANG
;
Ting HUANG
;
Qingjun HUANG
Author Information
1. 310036,杭州师范大学医学院
- Keywords:
Health resources;
Primary medical and health institutions;
Compensation mechanism;
Policy framework;
Zhejiang province
- From:
Chinese Journal of Hospital Administration
2018;34(9):705-709
- CountryChina
- Language:Chinese
-
Abstract:
Based on an analysis of the compensation policy and its problems of the primary medical and health institutions, this paper put forward the corresponding reform framework in Zhejiang province. It proposed to change the compensation policy of " predefining revenue and expenditure, subsidizing its gap after performance appraisal" into " a mixed system of special subsidy and pay for performance". Related policies were also described including governmental functions, special subsidies for input-based payments, classified payments for output services, precautions against financial risks, etc. This paper also suggested that we focus on dealing with the six pairs of balance, such as that between subsidy for the supply and demand sides, and that between internal market and external market.