福建省县级医院开展新农合支付方式改革的SWOT分析

[目的]了解县级医院在新农合支付方式改革中所处位置。[方法]采用SWOT分析法，对县级医院新农合支付方式改革的情况进行分析。[结果]优势：县级医院是城乡联动纽带和农村三级卫生服务网的龙头，群众基础较好，服务价格相对低廉。劣势：医务人员积极性不高，医疗技术人员缺乏，医院管理体制落后，群众对其信任度不高。机遇：新农合覆盖面广，国家政策支持，可借鉴其他省市经验，已研发新农合补偿方案测算活模板。威胁：试点医疗机构较少，病种（组）较少，覆盖面低，患者流向县外，信息系统有待进一步改造。[结论]县级医疗机构面对各种发展策略时应发挥自身优势抓住机遇，利用政策上的各种支持咖强自身建设，并配合新农合管理部门探索适合本地的具体改革路子。

SWOT analysis of new rural medical cooperative system payment reform in county hospitals in Fujian Province

Objective To learn about the position of county-level hospitals in new rural medical cooperative system payment reform.Methods Analyzed the cases of new rural medical cooperative system payment reform in county hospitals by SWOT methods.Results Advantage: as the link of urban and rural county and the leader of rural three-level health service network,country hospitals had a good mass base and services prices was lower.Disadvantage: medical staffs lack of motivation,lack of medical technician,backward in hospitals’ management system and the mass confidence degree was lower.Opportunity: new rural medical cooperative system covered widely,our government support it,use for reference from other cities and studied flexible model of new rural medical cooperative compensate plan.Threaten: experimental medical institution were less,as well disease varieties,covering square were low,patients went out of the county and information system should be improved.Conclusions county-level health care institutions should seize the opportunity when they face all kinds of development strategies,play their advantage.Strengthen self-construction through all kinds of policy support.Explore the specific reform way which suit local situation,combine with new rural cooperative administrative department.