Research On Compensatory Mechanism Of Medical Reform In S Public Chinese Hospitals In Zhejiang Province

With the advancement of health system reform,the reform of public hospital reform as a very important part,the relationship between the medical and health system reform in our country the success,but the reform of public hospitals in our country has experienced the long-term functional position is not clear,inadequate government,hospital management system and mechanism of the backward stage,the public hospital public welfare gradually fade,people "see a doctor expensive,see a doctor difficult" problem day by day serious,the longer it will be a serious threat to the harmonious development of society.Especially in the public hospital in the tide of reform by the unprecedented impact,facing the compensation does not reach the designated position,bear the pressure of economic operation,compared with general hospital,hospital loss phenomenon is more,the serious influence the sustainable and healthy development of the traditional medicine.Based on a provincial S public hospital as an example,from the Angle of quantitative analysis in "drugs(except traditional Chinese medicine yinpian)zero rate" policy implementation,and facing the reform of Chinese medicine yinpian difference situation,how the city public hospital compensation mechanism reform,Chinese medicine service and related supporting measures how to price the health of the public hospital of traditional Chinese medicine,can solve the patients,"cost of medical care",and to promote the healthy development of the traditional Chinese medicine in China.Through the theoretical and practical research status and development trend at home and abroad are described,simply expounds the concept of medical and health system reform and major reform measures and introduces the definition of related concepts of public hospital compensation mechanism.Analysis S public hospital and related medical institutions of the business and financial statements,respectively from the economic benefit,the efficiency and service business income structure in this paper,the city public hospital operating status,characteristics,and provincial general hospital and the difference between "drugs(except traditional Chinese medicine yinpian)zero rate" "grading diagnosis" reform measures such as "Chinese medicine yinpian post reform" to the provincial hospital operation.This paper expounds the existing problems in the compensation measures of urban public hospitals,and explores the optimization idea of the compensation scheme of S public hospital.Through the above research,the compensation scheme and functional positioning mismatch between the government and urban public hospitals are not matched;The service price of TCM diagnosis and treatment project is low,which cannot reflect the technical content and make up the cost.Medical insurance compensation did not reflect the policy of support for the development of traditional Chinese medicine and "hierarchical diagnosis model" lack of diagnosis and treatment plan of city public hospital S public hospital in zhejiang province and other issues put forward perfect compensation mechanism,including: face up to the problems existing in the public hospital,innovation finance compensation mode;Adjust the service price of TCM diagnosis and treatment project,and excavate TCM diagnosis and treatment methods;Reform the way of medical insurance payment,and increase the payment scope and proportion of TCM diagnosis and treatment programs;To distinguish the assessment rules of the compensation scheme of urban public hospitals and comprehensive hospitals;We will broaden the compensation channels and establish preferential policies for charitable giving.