| 摘要: |
| 目的：通过对三明市紧密型县域医共体财务一体化管理的实践探索，提出解决财务一体化管理的路径，为紧密型县域医共体财务一体化管理提供参考与借鉴。方法：采用调查问卷对紧密型县域医共体内的市、县、乡三级医疗卫生机构进行调查，并同紧密型县域医共体内的财务、人事、医保、价格、信息、设备、总务等部门负责人进行小组座谈。结果：三明市紧密型县域医共体内财务一体化管理的组织架构明晰，财务制度管理、预算管理、医保管理、价格管理、采购管理、绩效考核管理、信息化管理等实现了“七统一”，且紧密型县域医共体财务状况发展态势良好。结论：三明市紧密型县域医共体财务一体化管理，除了实现“七统一”管理以外，还要明确紧密型县域医共体内各成员单位的产权划分，从而提高全面预算管理水平。 |
| 关键词: 紧密型县域医疗共同体 财务一体化管理 三明 |
| DOI： |
| 投稿时间：2023-06-18 |
| 基金项目: |
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| Exploration on the Financial Integration Management of Merged County Medical Alliance in Sanming |
| Chen Huowang |
| (The Second Hospital of Sanming City,Yong’an, Fujian, 366000 , China) |
| Abstract: |
| Objective: Through the practical exploration of the financial integration management of the merged county medical alli- ance in Sanming, it puts forward the path to solve the financial integration management, providing references for the financial integra- tion management of the merged county medical alliance. Methods: A questionnaire survey was conducted on medical and health insti- tutions at the municipal, county level, and township level within the tight county medical community, and group discussions were held with the heads of finance, personnel, medical insurance, pricing, information, equipment, and general affairs departments within the merged county medical alliance. Results: The organizational structure of financial integration management in the merged county medical alliance in Sanming was clear, and the“seven unifications”of financial system management, budget management, medical insurance management, price management, procurement management, performance assessment management, and information management were achieved, and the financial development situation of the merged county medical community was good. Conclusion: In addition to the achievement of“seven unified”, the financial integrated management of Sanming’s merged county medical alliance should also clari- fy the division of property rights of each member unit in the merged county medical alliance, so as to improve the overall budget man- agement level. |
| Key words: management of merged county medical alliance integrated financial management Sanming |
