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谢伏瞻
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    河南省卫生领域开放的现状、问题与对策研究

    摘要

    扩大卫生领域开放是新一轮医药卫生体制改革的重要内容,也是推进医疗卫生事业快速发展、弥补政府投入不足的重要举措。近年来,河南省委、省政府坚持对外开放的基本省策,在卫生领域以开放促改革、促发展,在加快形成多元办医格局,形成投资主体多元化、投资方式多样化的办医体制方面取得了不俗的成绩,为满足人民群众多层次、多样化的卫生医疗服务需求提供了保障。但同时应该看到,河南卫生领域开放整体水平不高,公立医院开放度不足效率不高,社会卫生支出占比偏低,民办医疗机构水平参差不齐等问题仍比较突出。河南要以“十三五”时期的到来为契机,做好顶层设计;扩大公立医院对社会资本的开放度,鼓励社会资本参与公立医院改制重组;积极引导民营医疗机构立足省情,差异化发展,办出自己的特色;加强部门协作与问责,进一步落实扩大卫生领域开放的相关政策。

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    Abstract

    Expending the health section is quite important in the new round of reforming the medical and health system and an important action in promoting the rapid development of medical and health services and offsetting the lack of government’s input. In recent years,the Party Committee and Government of Henan Province have been insisting on the basic provincial policy of opening up,and been promoting the reform and development by way of opening up the health section,which results in impressive performances in accelerating the formation of multiple hospital-operating patterns and the formation of hospital-operating system with multiple investors and investment methods,guaranteeing the requirements of people for health and medical services of multilevel and diversification. However,the opening-up level of health section in Henan Province is relatively low,so is the opening-up degree and efficiency in public hospitals. The proportion of input in social health is not high and the quality of civilian-run medical institutions is worrying. The 13th Five-year Plan should be treated as an opportunity for the top-level design. The opening-up degree of public hospital to social capital should be increased and the social capital should also be encouraged to be engaged in the reform and reconstruction of public hospitals. The civilian-run medical institutions should be induced for differential development and for their own special characteristics based on the basic conditions of Henan Province. Cooperation between different departments and accountability should be enhanced to further implement relevant policies of boosting the opening-up in the health sector.

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    作者简介
    张侃:张侃,河南省社会科学院社会发展研究所助理研究员。
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