对县域医改有关问题的思考

我国有些县的医疗改革缺乏全面统筹规划,不能有效地协调联动,致使县域卫生事业发展不平衡,卫生资源配置不合理,医疗卫生结构不协调。因此,县域医改一是要全面统筹规划,坚持整体发展,进行整体协调改革;二是要解决基础定位该怎么定的问题,资金从何处筹集、人员往何处去等关键问题;三是要打破以药养医,坚持公益性质,建立医改的保障机制,明确主体责任机制,坚持政策配套,投入常态机制和医技养医机制。

Issues related to the county medical reform thinking

Medical reform in some counties in China lacks the overall planning and coordination,so county-level medical career development is imbalanced,medical resource allocation is unreasonable,and medical and health care constitution isn’t coordinating.Therefore,firstly county-level reform should be overall planned,consist in overall development,and reform harmoniously;secondly basic position,capital collection and personnel flowing,etc should be decided;thirdly "supporting medical with medicine" should be broken,public welfare character be insisted,insurance mechanism of medical reform be established,objective responsibility mechanism be clarified,policy allocation be insisted on,and normal mechanism and medical technique supporting medical development be developed.