Research On The Comprehensive Reform Of Changzhou Municipal Public Hospitals

The development of medical and health services is related to people’s livelihood and well-being.At present,in the face of the challenges of an aging population and the growing medical needs,the capacity and level of medical and health public services need to be improved urgently.In 2017,the comprehensive reform of public hospitals was fully launched.The reform in the field of medicine and health is an important matter for improving people’s livelihood and a practical matter for social development.This topic is typical and feasible by taking the reform of public hospitals in Changzhou city-level cities as the research object.After the comprehensive reform of the hospital,a survey of people’s satisfaction was conducted,objectively expounding the main practices in the reform of public hospitals in Changzhou city-level cities.The reform of medical insurance payment methods,the acceleration of the construction of talent disciplines and the acceleration of informatization construction,etc.,the main problems are that the reform of the management system and mechanism of public hospitals has not been deepened,the reform of the compensation mechanism of public hospitals is not perfect,and the financial investment guarantee mechanism is not perfect.,Public hospitals are under great debt pressure,imperfect personnel performance evaluation and salary systems,inadequate implementation of the hierarchical diagnosis and treatment system,and total prepayment system restricting the development of hospitals.For the existing problems,in-depth analysis of the reasons is mainly because the medical management system is not perfect.,The lack of a supporting mechanism for the reform of medical service prices,the imperfect government financial subsidy policy,the increase in operating costs intertwined with new and old debt,the failure to optimize the hierarchical diagnosis and treatment system,and the contradiction between the total prepayment system and hospital development.And take Sanming City,Shenzhen Luohu District,Xiamen City and Wuxi City as examples,and compare with other countries such as the United Kingdom,India,Singapore,Germany,etc.,to summarize the practical experience and characteristic practices of hospital reform in other cities at home and abroad.,and obtained inspiration to provide experience and reference for the reform of public hospitals in Changzhou city-level cities.It proposes targeted solutions from the aspects of improving the management system of public hospitals,improving the dynamic adjustment mechanism of medical service prices,improving the financial investment mechanism,resolving the debts of public hospitals,improving the hierarchical diagnosis and treatment system,and deepening the reform of medical insurance payment methods.