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畢業(yè)后醫(yī)學教育財政保障機制探索

發(fā)布時間:2018-02-21 03:09

  本文關鍵詞: 畢業(yè)后醫(yī)學教育 住院醫(yī)師 專科醫(yī)師 財政補助 出處:《中國衛(wèi)生資源》2017年05期  論文類型:期刊論文


【摘要】:畢業(yè)后醫(yī)學教育是醫(yī)療衛(wèi)生人才培養(yǎng)的重要階段,主要包括住院醫(yī)師和�?漆t(yī)師規(guī)范化培訓。上海學習借鑒國際成熟經驗,先行先試構建與國際接軌的畢業(yè)后醫(yī)學教育制度,并將其作為政府衛(wèi)生投入的重點內容,按照事權與支出責任相適應的原則,建立由政府、培訓醫(yī)院、社會共同承擔的經費保障機制,充分發(fā)揮財政資金的政策引導作用,以結果導向為核心強化預算績效管理,建立激勵相容機制。對于住院醫(yī)師規(guī)范化培訓,統(tǒng)籌使用中央和市級財政專項補助資金,重點用于培訓對象生活學習補助和培訓醫(yī)院教學實踐活動補助;對于專科醫(yī)師規(guī)范化培訓,主要由市級財政出資用于培訓醫(yī)院教學實踐補助,市、區(qū)兩級財政分別出資用于所屬委派醫(yī)院人力成本補助。財政部門會同衛(wèi)生行政部門在成本測算的基礎上,制定財政補助資金支出標準,建立預撥和考核清算制度,確保財政資金使用效益。
[Abstract]:Post-graduation medical education is an important stage in the training of medical and health personnel, mainly including standardized training for resident and specialist doctors. Shanghai has learned from international mature experience and first tried to establish a post-graduation medical education system in line with international standards. And regard it as the key content of the government health investment, according to the principle that the right of affairs and the responsibility of expenditure are suitable, establish the fund guarantee mechanism which is shared by the government, train the hospital and the society, and give full play to the policy guidance function of the financial fund. Strengthening budget performance management with the core of result-oriented, establishing incentive compatibility mechanism. For standardized training of resident doctors, the central and municipal financial special subsidy funds should be used as a whole. It focuses on the training object living and learning subsidy and training hospital teaching practice subsidy; for the standardized training of specialists, the municipal financial contribution is mainly used for training hospital teaching practice subsidy. The financial departments, together with the public health administration departments, shall, on the basis of cost calculation, formulate standards for the expenditure of financial subsidies, and establish a system of pre-allocation and assessment and liquidation. To ensure the efficiency of the use of financial funds.
【作者單位】: 上海市財政局社會保障處;上海市衛(wèi)生和健康發(fā)展研究中心(上海市醫(yī)學科學技術情報研究所);復旦大學公共衛(wèi)生學院;
【分類號】:F812.45;R197.1

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