| In Jinzhou city public hospital medical service price reform through the whole process of policy implementation as the research object,on the theoretical analysis framework of Smith policy implementation process model,through the method of literature analysis and interview research method,trying to Jinzhou city for better implementation of city public hospital medical service price reform policy advice.Since the implementation of the policy of medical service price reform in urban public hospitals,Jinzhou city has identified its own development characteristics,make active use of central and provincial policies,and continuously promoted the in-depth development of medical reform in Jinzhou city.However,in the process of implementing the policy of medical service price reform in urban public hospitals in Jinzhou,there are still many problems.With the passing of time and the continuous development of the situation,these problems become more and more prominent.Inflexible policy implementation;The policy itself is unreasonable;A mechanism for normalizing policy implementation has not been established;The market mechanism has not been fully established.The government has over-regulated some of the things that should be left to the market.The supervision of medical service price is not in place;Insufficient participation of stakeholders in policy implementation;Unreasonable salary structure of doctors.For Jinzhou city in the development of the subsequent how to solve the above problem,put forward the following advice,policy,perfecting the policy system,establish a scientific medical service price measurement standard system,dynamic adjustment mechanism of the price of medical service,to further lower the price administrative authority,to establish a unified public hospital medical cost accounting method;We should establish an incentive mechanism,improve the enthusiasm of medical staff,strengthen policy publicity,improve the doctor salary system,and establish a timely compensation mechanism for government departments.Hospitals should strengthen internal management and reduce operating costs.Improve the management level of executive organs,improve the organizational structure and personnel allocation,constantly improve the price monitoring information mechanism,establish the medical service price information platform,strengthen management,standardize the medical service price behavior;We should constantly improve the policy environment,encourage the participation of various forces,create an internal and external supervision environment,adjust and improve relevant supporting measures,and establish a medical service price management responsibility system. |