Research On Path And Effect Of "Sanming Mode"of Public Hospital Reform

Due to historical and institutional reasons, there are some problems in public hospitals for a long time, such as the public nature of weakening, the irrational distribution of medical resources, operating inefficiencies, excessive pursuit of economic efficiency."Great recipe","excessive examination", over-treatment, prescription drug overdose and other bad behaviors have occurred in public hospitals frequently. The difficulty and high expense in medical care, has become one of the social problems affecting the daily life of people. The traditional public hospital system can not adapt to the rapid development of economy and society and the rapid growth of the medical needs of the people.How to reform and develop the public hospital, which is a worldwide problem. Positive exploration has been carried in America, Britain, Singapore. While in China, health care reform has been carried for nearly30years since1985. However, no mature experience has been gotten. It is a common mind that the premise of the reform means to increase public finance input. While the reform happened in Sanming City in Fujian Province was different since2012. The government decided to start the reform on the mechanism of the drug-maintaining-medicine, carried out reform in all of the22public hospitals in Sanming City at the same time. Innovation in system and mechanism was taken as important as the public finance input. A series of innovation reform measures were taken, including management system, compensation mechanism, personnel and division systems, drug procurement mechanism, price mechanism and so on. This reform has received great concerns by the main-stream media, experts in health care reform, government officials. And it’s called "Sanming mode" of the reform of the public hospital.This article systematically summarizes the research and practice of domestic and international reform of public hospitals, focuses on the system design and concrete measures of Sanming City, comparative analyses the effectiveness of the reform from different stakeholders, such as patients, hospitals and medical staffs, medical funds and the government. A conclusion can be drawn that the reform is effective by data analysis and demonstrated. The trend of excessive increase in medical costs has been controlled, the problem of high expense in medical care has been greatly alleviated, the hospital financial condition has been improved, the public nature has been strengthened, the constant development of hospital has been realized, the incomes of medical personnel has been greatly improved, the imbalance of medical fund has been relieved. However, something remains necessarily to be done, such as relieving difficulties in medicine, corporate governance, payment pattern reform of medical insurance.Eventually, the article gives some meaningful methods for the practice of the hospital reform in China, including innovation on hospital management system and mechanism, the mechanism of the drug-maintaining-medicine, higher pay for employee in medical profession, agencies integration in medical insurance and so on.