社区卫生服务收支两条线改革认识误区的思考

厘清社区卫生服务公益性内涵和收支两条线制度作用机理是实现社区卫生服务改革目标的前提。当前社区服务收支两条线改革存在将公益性机制的建立简单地等同于切断趋利行为、加大政府投入、减免医疗费用的认识误区。在厘清收支两条线改革认识误区的基础上,进行社区卫生服务外在形态机制、内在运行机制和绩效考核机制"三位一体"的综合改革,是实现社区卫生服务公益性的有效路径。

Thoughts on the misunderstanding about separation of revenue and expenditure reform in community health services

To clarify the public welfare content of community health services (CHS) and the mechanism of the revenue and expenditure separation system is a prerequisite to achieving the objectives of the reform in community health services. Currently, the misunderstanding in CHS public service reform that public welfare mechanism is equal to cutting benefits or reducing the same behavior, increasing government investment, and waving health care expenses. On the basis of clarifying the misunderstanding of separating the revenue and expenditure reform, the comprehensive reform on external form mechanisms, internal operation mechanism and performance evaluation mechanism is an effective path to achieve public welfare in community health services.