三医联动改革
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卫健委体改司司长许树强:推广三明医改经验尚存堵点 医改成效应纳入各级党委政府绩效考核
Mei Ri Jing Ji Xin Wen· 2025-11-24 07:53
每经记者|赵李南 每经编辑|文多 图片来源:圆点直播官网截图 "二是医疗服务价格形成的机制有待完善,价格水平总体是偏低的,重物资消耗,轻技术劳务,定调价缺乏医院和医务人员的有效参与,动态调整机制还没 有建立起来。此外,医保支付方式改革目前从进展看还需要加速。"许树强表示。 "三是符合行业特点的人事薪酬制度改革还需要加大力度。公立医院编制标准严重滞后且没有落实,编外人员占比较高,目前占到了51%。医务人员、技术 劳务价值尚没有充分体现,多数公立医院可支配收入不足,提高薪酬水平缺乏资金来源。"许树强说道。 7月6日,国务院医改领导小组秘书处、国家卫生健康委在福建省三明市召开新闻发布会。 国家卫生健康委体改司司长许树强、国家卫生健康委体改司一级巡视员朱洪彪、福建省卫生健康委党组书记黄如欣、三明市政府副市长张元明、三明市沙县 区总医院党委书记万小英参加了新闻发布会。 会上,媒体针对三明医改的成果和接下来全国如何进一步推广学习三明医改经验等问题进行了提问。 许树强在回答现场记者提问时分析称,目前全国推广三明医改经验仍然存在着难点和堵点,比如有些地方对"三医"联动改革存在畏难情绪。许树强认为,各 地需要在领导体制、三医联 ...
国家卫健委主任:全面推广三明医改经验!亲历者详解医改做法
Nan Fang Du Shi Bao· 2025-10-24 08:31
Core Viewpoint - The Chinese government emphasizes the promotion of the Fujian Sanming medical reform experience as a model for healthcare service development during the 14th Five-Year Plan period [1][2]. Summary by Sections Medical Reform Experience - The Sanming medical reform has achieved significant results in health security and reform through four key principles: adherence to party leadership, a public welfare focus, a proactive reform approach, and local adaptation of reforms [2][3]. Reform Logic - The Sanming medical reform prioritizes the people's perspective, aiming to enhance public satisfaction and ensure equitable access to healthcare services [3][4]. - The reform is characterized as a revolution in the healthcare sector, addressing issues like high medical costs and inefficient healthcare practices [3][4]. Reform Methods and Pathways - The reform adopts a systematic approach, integrating medical, insurance, and pharmaceutical reforms to enhance overall effectiveness [4][5]. - Key strategies include establishing efficient management systems, improving insurance fund utilization, and eliminating corrupt practices in drug pricing [5][6]. Reform Phases - The reform is divided into three phases: 1. Addressing profit-driven practices in healthcare [5][6] 2. Reorienting healthcare towards patient treatment [5][6] 3. Focusing on health promotion and prevention [5][6]. Reform Achievements - Significant reductions in patient costs have been observed, with hospitalization costs for urban employees increasing from 6,553 yuan in 2011 to 8,560 yuan in 2023, while personal burdens have only slightly increased [8]. - The total salary expenditure for hospitals rose from 382 million yuan in 2011 to 2.044 billion yuan in 2022, indicating improved compensation for healthcare workers [8][9]. - The structure of hospital revenue has shifted, with medical service income rising from 18.37% to 46.07% of total revenue from 2012 to 2023 [9]. Future Goals - The reform aims to establish a comprehensive health security system, emphasizing the government's role in providing public health services and ensuring effective management of healthcare institutions [11][12]. - The focus will be on enhancing the efficiency of insurance funds and promoting health management organizations to improve overall health outcomes [12][13].