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医疗视点

四川: 深化医改 公立医院将实行院长聘任制

浏览次数:     更新时间: 2016/07/18

yuanwenlianjie:

GD真人jinhouwoshenggongliyiyuanjiangshixingyuanzhangpinrenzhi,weiwanchengrenqimubiaode,budelianren。zheishijizhecongjinriwoshengyinfade《sichuanshengshenhuayiyaoweishengtizhizonghegaigeshidianfangan》(yixiajiancheng《fangan》)zhongdezhide。

《fangan》tichubaokuoshenhuagongliyiyuanzonghegaige、dalicujinshehuibanyifazhandengzaineidebadagaigezhongdianrenwu。tongguogaige,woshengjiangzouchuyitiaoxibuqianfadashengyiyaoweishenggaigefazhanzhilu,muqian《fangan》yiquanmianqidongshishi,2020nianqian,jiangquanmianshixiangexianggaigedemubiaoheyaoqiu。

shenhuadaxingyiyuanzhuanxiangxuncha

GD真人xitongzhiliyiyaogouxiaolingyushangyehuilu

shenhuagongliyiyuanzonghegaigeshi《fangan》dezhongdian。

GD真人wanshanyuanzhangxuanbarenyongzhidu,shixingyuanzhangpinrenzhi、renqizhi、mubiaozerenzhihewenzezhi,tuijinyuanzhangzhiyehua、zhuanyehua。shixingyuanzhangrenqimubiaoguanliheniandumubiaoshuzhizhidu,weiwanchengrenqimubiaodebudelianren。sanjiyishanggongliyiyuanjianlizonghuijishizhidu,jiaqiangcaiwuhuijiguanli,qianghuachengbenhesuanyukongzhi。shenhuadaxingyiyuanzhuanxiangxuncha,xitongzhiliyiyaogouxiaolingyushangyehuilu。

GD真人《fangan》guiding,jinhouwoshengjiangwanshankechixubuchangjizhi,gongguxianjigongliyiyuanyaopinlingchalvxiaoshougaige,gejicaizhengzueluoshizhuanxiangbuzhuzijin,yanjinyixianjigongliyiyuandezichandizhaihuodiyajiekuan。chengshigongliyiyuanquxiaoyaopinjiacheng(zhongyaoyinpianchuwai),duiyiyuanjianshaodehelishouru,yuanzeshang70%tongguodiaozhengyiliaofuwujiage、20%tongguocaizhengtouruyuyibuchang,zengjiadecaizhengtourunaruyusuanguanli,10%tongguoyiyuanjiaqiangguanli、jiangdiyunxingchengbenjiejue,jianlijiagediaozheng、yibaozhifuhecaizhengbuzhu“sanheyi”jizhi。

wanshanyaopinbaozhangjizhi。jianquanyiliaojigouyaopinfenleicaigouxinjizhi,tansuoduigaozhiyiyonghaocaishixingshengjijizhongfenleicaigou,duiyiyongshebei、tiwaizhenduanshijiheerleiyimiaoshixingshengjiguawangyangguangcaigou,xingchengyaopin、gaozhiyiyonghaocai、yiyongshebei、tiwaizhenduanshiji、erleiyimiao“wuweiyiti”jizhongcaigoujizhi,qieshijiangdixugaojiage。

pinkunxianxianjiyiyuanjiangdadaoerjishuiping

jiankapinkunrenkouxinnonghegerenjiaofeicaizhengdaijiao

“shisanwu”qijian,caizhengduiquanshengjiandanglikapinkunrenkoucanjiaxinnonghedegerenjiaofeiquanedaijiao。

weidayingjiankangfupingongjianzhan,jinhouwoshenghaijiangjianquanpinkundiqugonggongweishengfuwujizhi,weipinkundiqumanxingjibinghuanzhejingzhuntigongjiankangguanlifuwu,bimianhuojianqingmanxingjibingtuoleijiatingfazhan。

jinhouwoshengjiangyirencai、jishu、zhongdianzhuanke、yuanchengyiliaoweihexin,tuijinpinkunxianxianjiyiyuannenglijianshe,pinkunxianxianjiyiyuanjiangdadaoerjishuiping,xiangzhenweishengyuan、cunweishengshibiaozhunhuajianshequanbudabiao。shixingsanjiayiyuanduikouzhiyuanpinkundiquxianjiyiyuan、erjiyiyuanduikouzhiyuanpinkundiquzhongxinxiangzhenweishengyuan。sheng、shiliangjiyiliaoweishengjigouzhuanyejishurenyuanjinshengzhongji、fugaojizhichengqian,xufenbiedaopinkunxianyiliaoweishengjigouzhiyuanlianxubushaoyu6geyue;jinshengzhenggaojizhichengqian,xudaopinkunxianyiliaoweishengjigouzhiyuanlianxubushaoyu3geyue。

GD真人yaojianlipinkundiquweishengrencaipeiyangjizhi。jinhouwoshengjiangmeinianweipinkundiqumianfeipeiyangyixuebenkebiyesheng200ming、yixuezhuankebiyesheng800ming,bingshixingzuidifuwunianxianzhidu,2017nianjibenbuzupeiqijicengyiliaodanweikonggangrenyuan。2020nianpinkundiqusuoyouxinjinyiliaogangweiyixuebiyeshengbixucanjiaquankeyishenghuozhuyuanyishiguifanhuapeixun。tuijinpinkundiquxiangcunweishengrenyuanyitihuaguanli,“xiangpincunyong”fugai90%yishangdiqu,meiqianrenkouzhishaoyou1mingxiangcunyisheng。gdzhenrenpinkunxianyishengdaoduikouzhiyuanchengshierjiayishangyiyuanmianfeijinxiu。pinkunxianerjiayixiayiliaoweishengjigoudeweishengjishurenyuannarujicengweishenggaojizhuanyejishuzhiwurenzhizigepingpinfanwei。

jianshaoshenpigulishehuibanyi

jianliyiliaojigoucongyerenyuanxinyongjilu

woshengjijigulishehuibanyi。

GD真人《fangan》fangkuanleshehuibanyidezhunruguifanshenpi。duishehuibanyiliaojigouquxiaojutishuliang、leibiehedidianxianzhi,zhensuo、menzhenbudengyiliaojigoubusheshuliangxianzhi。gulijubanerjiyishangkouqiang、yanke、erke、fuchanke、zhongyi、kangfu、laonianbing、huliyuan、linzhongguanhuaidengzhuankeyiyuanhedisanfangyixuejianchajianyanjigou。

duishehuibanyiliaojigouanzhao“sheishenpi、sheifuze”yuanzeluoshijianguanzeren,shixingyugongliyiliaojigoutongyideyiliaozhiliang、yiliaoanquan、yideyifeng、chengxinfuwudengkaoheheguanlipingjiabiaozhun。2018nianshixingyiliaojigoujicongyerenyuanbuliangzhiyexingweijifenguanli,duiweiguishixinzhecaiquxingyejinrudengchengjiecuoshi。

《fangan》tongshiguiding,yaobaozhangyishifadinggongzuoshijianwaigdzhenrenduodianzhiye,tansuojianliduodianzhiyeshouruyudiyizhiyeyiliaojigou、duodianzhiyeyiliaojigouhelifenchengzhidu。guligongliyiyuanyishidaojicengyiliaoweishengjigouzhiyehuokaishegongzuoshi。yishizaixianjijiyixiayiliaojigougdzhenrenduodianzhiye,shiweiduikouzhiyuanjingli。

lianjie: gaigeshijianbiao

2016nian

GD真人suoyoushi(zhou)qidongchengshigongliyiyuanquxiaoyaopinjiacheng、jiangdiyaopinhaocaifeiyong、lishunyiliaofuwujiage、wanshanyibaozhifufangshi“sitongbu”gaige,wanchenggongliyiyuanyaopinjizhongcaigou。

tongyichengxiangjuminjibenyibaozhengce,shixianyibaodingdianyiyuanzhifufangshigaigequanfugai,jiangzhuyuanrenshuhuozhuyuanfeiyongzhanbiqian10weidebingzhongyouxiannaruzhifu。

2017nian

GD真人60%deshijijikongzhongxindadaosanjiyidengyishangbiaozhun,fuyoubaojianjigoubiaozhunhuajianshelvda82%,erjiyishangyiyuanshezhihuomingquechengdanjibingyufangkongzhi(yufangbaojian)keshi。

GD真人shi(zhou)chengshigongliyiyuan,zhongyangzaichuanheshengweishengjishengwei、shengzhongyiyaojuzhishugongliyiyuan,junduiheguoyouqiyesuoshuyiyuanjibenwancheng“sitongbu”gaige,jibenjianlikexuebuchangjizhihexiandaiyiyuanguanlizhidu。

youhuashehuibanyishenpichengxu,gdzhenrenshenbanyiliaojigoushenpiyizhanshifuwushidian,shehuibanyichuangweishuhezhuyuanfuwuliangzhanzongliangde25%。

GD真人yibaodingdianyiyuan50%yishangdezhuyuanhuanzheshixiananbingzhongfufei,wanshanjibenyibao、dabingbaoxian、yiliaojiuzhu、shangyejiankangbaoxiandengzhiduxianjiezhengce。

tuijinquankeyisheng、xiangcunyisheng、getiyishenghechengxiangjumindeqianyuefuwu,wanshanluoshizhichifenjizhenliaodeyibaozhifuzhengce,xianyuneijiuzhenlvtigaodao90%zuoyou。

chutaigongliyiyuanbianzhiguanlishixingbanfa,yanjiuzhidinggongliyiyuanxinchouzhidugaigeshidianzhidaoyijian,gdzhenrenxinchouzhidugaigeshidian。quanmiantuijinxiangcunweishengrenyuanyitihuaguanli。jiaqiangyishi、hushifuwuxingweijianguan。

gdzhenrengonglizhongyiyiyuanxinchouzhidugaigeshidian。jijituijinzhongyiyiyuangdzhenrenfenjizhenliao。quanmiantishengjicengzhongyiyaofuwunengli。gdzhenrendaxingzhongyiyiyuanxuncha。

duizaixianyuneijicengyiliaojigoujiuzhendejiandanglikapinkunrenkoumenzhenhezhongtedajibingzhuyuangerenyiliaofeiyongjiyujianmian,lizhenggerenyiliaofeiyongzhichukongzhizai10%yinei。

2018nian

50%de50wanrenkouyishangdexian(shi、qu)jikongzhongxindadaoerjijiadengyishangbiaozhun,fuyoubaojianjigoubiaozhunhuajianshelvda85%。

jianliyiliaojigoujicongyerenyuanxinyongjilu,shehuibanyichuangweishuhezhuyuanfuwuliangzhanzongliangde30%。

GD真人wanshanliyifenpeijizhiheyiliaolianhetiyunxingjizhi,jianquanshuangxiangzhuanzhenzhidu。luoshigejigeleiyiliaojigoujimanbingzhenliaogongnengdingwei,tuidongmanxingbinghuanzhezaijicengzhiliaohekangfu。

GD真人tuikaigongliyiyuanbianzhiguanlihexinchouzhidugaige,tuikaixian、xiangyiliaoweishengjigouyitihuaguanli。jianquanyishihushizhiyezhuce、yishidingqikaohe、yiyuanguanlidengxinxixitong。

GD真人zhongyishuangxiangzhuanzhenjizhijibenjiancheng。quxiaoduishehuibanzhongyidexianzhi。gejizhongyiyiyuanzhongyaoyaopinshouruzhanyaopinshourudebiligaoyu50%,zhongyaoyinpianshouruzhanyaopinshourudebiligaoyu20%。

88geyiliaoweishengjishengfupinzhongdianxianyiliaofuwunenglimingxianzengqiang,meigepinkunxianzhishaoyou1suoerjiyiyuan;juminjiankangzhuangkuangjinyibugaishan,lizhengyunchanfusiwanglvxiajiangzhishiwanfenzhisanshiyixia,yingersiwanglvxiajiangzhi12‰yixia,jibenjiejinquanshengpingjunshuiping。(liuhongshun)

 

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