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长期以来,我国卫生事业一直由政府兴办和管理,逐步形成了完全依赖政府的局面。筹资渠道过于单一,且政府投资效率低下,卫生事业的发展与人民群众医疗需求的矛盾日益突出,需要改革我国原有的卫生事业单位投融资体制。投融资体制面临体制僵化和卫生资源配置不科学等问题。因此改革势在必行,要求现行的医疗卫生投融资体制和医疗机构运行机制在以下方面有所创新:进行产权制度改革;构建卫生多元投融资主体结构;建立和完善公立医疗机构法人治理结构;改革财政对公立医院投入补偿机制;完善非营利性医院融资的法律保护;规范政府职责,提高医疗服务的效率和公平;合理配置卫生资源;建立和完善农村、城镇职工基本医疗保险制度。
For a long time, the cause of health in our country has always been set up and managed by the government, and the situation of completely relying on the government has gradually been formed. Financing channels are too single, and government investment is inefficient. The contradiction between the development of health undertakings and people’s medical needs has become increasingly prominent. It is necessary to reform the existing system of investment and financing in public health institutions in our country. Investment and financing system is facing institutional rigidity and unscientific allocation of health resources and other issues. Therefore, the reform is imperative, requiring the current medical and health investment and financing system and medical institutions operating mechanism innovation in the following areas: the reform of property rights system; to build the main body of multiple health financing investment and financing; establish and improve the corporate governance structure of public medical institutions; Reforming the fiscal mechanism for public hospitals; improving the legal protection of non-profit hospital financing; regulating government responsibilities and improving the efficiency and fairness of medical services; rationally allocating health resources; establishing and improving the basic medical insurance system for rural and urban workers.