Public Hospitals Of Z With Public Welfare Oriented Compensation Mechanism Research Of Xinjiang

A new round of medical and health system officially launched starting in2009, this newround of medical reform has become a hot public hospital reform is difficult. Way tocompensate public hospitals are: government financial compensation, medical fees and drugaddition revenue in three parts. In recent years the state financial subsidies for public hospitalshave financial decline, coupled with the national policy to limit the pricing of medicalservices, thus the normal operation of public hospitals in order to be able, to make ends meetcan only increase by a third part of the way of compensation drug addition revenue tomaintain, thus resulting in the benefits or reduce the tendency of public hospitals, publicweaken other issues affecting the harmony and stability of society as a whole.This paper first describes the current situation and the status of public hospital costscompensation mechanism for the larger environment, focusing on the city starting with W Zhospital, through the hospital’s financial data, cost accounting data, and analyze internalperformance data, so in-depth study of the government of a large public hospital financialproblems subsidies, cost accounting, performance evaluation and other aspects, and furtherproposes targeted measures to improve from compensation.First. Refinement full cost accounting.Sesond.Design scientific and reasonable financial compensation system in publichospitals. Adjustment based on the price of medical services combined with financialcompensation, increase government financial compensation, clearly defined the extent ofwage subsidies health care, hospital housing construction, purchase of medical equipment andother items, and policy-related losses, implementation and charges for medical servicescomplement each other to ensure a good run public hospitals and sustainable development,after reaching the subsidy and the balance of public hospitals and the actual cost of thegovernment’s social commitment. In addition, a clear normative standards and scope ofgovernment financial compensation, to create a scientific and rational system of financialcompensation. Meanwhile, the strict control of the size of the hospital infrastructure,"theestablishment of budget performance evaluation system," that according to the quantity andquality of medical services provided by public hospitals, the use of "post-up" system approachto improve the efficiency of financial assistance. Third.Basic health insurance policy reform. summary of public hospitals shouldimplement a medical insurance system can be established from the internal aspects of thehospital within the hospital performance assessment system, used to constrain the behavior ofthe medical staff attitudes, improve health care emphasis on health insurance; hospitals shouldalso develop a comprehensive medical insurance settlement standard way for public hospitalsonly achieved higher economic and social benefits, but also allow the government satisfaction,satisfaction of the masses.Fourth.Set reasonable classification of hospital performance indicators compensationto improve the efficiency of financial capital. Financial compensation policy should focus onthe implementation of the welfare aspects of public hospitals highlights and further incentivesfor hospitals to control costs, make the hospital to save costs and improve output efficiency,this will help to maximize the benefits of public goods. To the hospital cost control incentivesmust be created using the approved Deficit was based, comprehensive assessment on the basisof the hospital, according to volume of services financial compensation for public hospitals toimplement programs to improve the efficiency of the compensation. External compensationmechanism to reform public hospitals provide specific reference and reference.In this paper, literature research, field surveys, data analysis, questionnaire, on the basisof presentation of the conceptual framework, the integrated use of relevant theories, and striveto explore the best fit of fairness and efficiency.