再论公立医院改革——三明医改取得突破性进展的案例分析

通过对福建省三明市公立医院改革做法的剖析,指出三明市公立医院改革值得学习和推广的经验：一是领导敢担当,政府真作为,直面公立医院管理体制和运行机制存在的问题,系统地提出改革方案,突破了一些行政管理瓶颈;二是院长和医生年薪制加绩效考核的支付方式;三是改革医院剩余索取权,实施药品、耗材收入结余不纳入收入分配;四是实行药品零差率销售和限价采购政策。

Discussion on the Reform of Public Hospitals: Case Study on Breakthrough of Health Reform in Sanming City

Analysis on practice of public hospital reform in Sanming City,and pointing out that the related experience is worth to learn： firstly,leaders dare to undertake,government dare to do,and facing problems of public hospital management system and operating mechanism,and propose the reform program and break a number of administrative bottlenecks; secondly,payment of dean and doctors annual salary system and performance system;thirdly,reform hospital residual claim right,implement drugs and consumable income balance not included in the income distribution; fourthly,implement zero margin drug profit and limit procurement policies.