Research On Current Situation And Countermeasures Of Medical Research Funds Management Under The New Situation Of Sci-Tech Reform

Objective: Investigation and understanding of the current situation and characteristics of medical research fund management under the new situation of science and technology reform,has analyzed and discussed of main influencing factors,in hope to provide scientific basis for formulating management strategies of medical scientific research funds.Methods: The research method is used to analyze and collate the relevant documents on the management of scientific research funds at home and abroad;researchers and research managers in universities and affiliated hospitals are selected as research objects,in-depth interviews were conducted with 7 experts by using expert interviews and a questionnaire survey was conducted among 311 scientific researchers and research managers,the present situation of medical scientific research fund management under the new situation was studied from the aspects of budget preparation and adjustment,expenditure and reimbursement,and evaluation of fund management,summarize and conclude the main problems,analyze the causes of the problems,and to put forward some countermeasures and suggestionsResults: A total of 320 questionnaires were distributed,in which 311 questionnaires were collected,with a recovery rate of 97.2%,311 questionnaires are valid at an effective rate of 100%.(1)in the budgeting of funds: 95.18% of the scientific research personnel think that the revised budget items and the basis are reasonable;The familiar rate of budget preparation subjecis is from 31.5% to 46.6%,Among the 7 preparation subjects of direct budget,5 or more subjects were well prepared for budgeting,accounting for 33.8%,7 preparation subjects were not familiar,accounting for 40.8%.The higher difficulties of Budget preparation are "test laboratory processing fee"(45.33%),"labor fee"(40.84%),"materials fee"(40.51%),"The proportion of budget subjects is difficult to ascertain"(39.87%),"Conference fee/travel expense/ international cooperation and exchange fee"(32.80%).The appropriation ratio of budgetary expenditure is between 38.7%-63.0%,and the low proportion is between 13.5%-59.6%.35.01% of the scientific research personnel are not well aware of the procedure for budgetary transfers;46.95% of the scientific research personnel who have adjusted their budgets think that budget transfers are not convenient,mainly because the examination and approval process is cumbersome(89.67%)and the examination and approval time is too long(69.48%).(2)expenditure and reimbursement: 80.13% think that research funds can be appropriated on time;90.17% percent of the researchers have occasional or regular expenditures that cannot be properly reimbursed,of which 68.87% choose not to be reimbursed or paid on their own."Labor fee"(35.35%),"test and laboratory processing fee"(32.32%)and "Conference fee/travel expense/ international cooperation and exchange fee"(27.95%)are considered the first three difficult subjects to reimburse.42.76% of the scientific researchers are not satisfied with the reimbursement procedures for scientific research funds,and 71.49% thought that more time should be spent on complicated reimbursement matters,because "there are too many applications for reimbursement"(88.89%),"the scope of reimbursement and reimbursement standards are unclear"(68.01%)and "low financial efficiency queuing time consuming power"(57.24%).80.81% can know the income and expenditure of the project they undertake in time,but only 13.80% can query the income and expenditure of the project they undertake through the scientific research fund management system.(3)management system of scientific research funds: 47.27% of the scientific research personnel are unfamiliar with the state funding reform policy and 91.40% consider that the existing measures for the administration of scientific research funds of the undertaking units will have a greater impact on the enthusiasm of the scientific research personnel;75.88% of the respondents suggested that the undertaking units should set up the post of financial assistant for scientific research.The top three positions of financial assistant for scientific research should be "expenditure and reimbursement"(87.46%),"project budget preparation and adjustment"(79.42%)and "financial final accounts and acceptance"(73.95%);52.73% of the respondents believed that the performance evaluation should be carried out in the middle and late stages of the project implementation.The evaluation index should be combined with the academic level of papers,patents,works and the economic growth and social development promote(70.74%)."scientific research department and financial departments are not closely coordinated"(67.85%),"Information systems are not smooth"(62.70%),"performance evaluation system unreasonable "(46.62%)and "internal control and supervision system is not perfect"(37.62%)– are the main problems that the respondents think still exists in the management of scientific research funds under the new situation.Therefore,the budget should be adjusted in a reasonable and timely manner(69.77%).The scientific nature of the budget preparation(55.95%),the coordination between the allocation of funds and the progress of research(52.41%)are all the matters that researchers are eager to further improve the reform of the financial management system.Conclusions: Scientific research personnel are not familiar with the relevant regulations on the budgeting of scientific research projects and do not understand the procedures and requirements for the transfer of scientific research funds.The main reason of low satisfaction with reimbursement procedures is that there are too many applications for reimbursement with low financial efficiency,time consuming queuing,unclear coverage and standard reimbursement.The lack of coordination between scientific research department and financial departments,unsmooth information system,the imperfect fund management system,the unreasonable performance evaluation system and the imperfect internal control and supervision system are the main problems that still exist in the management of scientific research funds under the new situation.The scientific research personnel are not familiar with the state’s newly promulgated policy on the reform of scientific research funds,and the financial assistant system for scientific research is not enough.Tactics: The first,to deepen the reform of the financial management system and formulate a system for the use of funds for service innovation.The second,to optimize the use process of scientific research funds and establish a convenient way to use scientific scientifically and standardized.The third,to strengthen the orientation of innovation quality and establish a scientific and reasonable performance evaluation system for funds.The fourth,to strengthen internal cooperation in fund management and build an information exchange platform of resource sharing for funds.