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优发国际 > 医院动态 > 医改前沿

安徽省人民政府优发国际印发安徽省深化医药卫生体制综合改革试点方案的通知

发布日期: 2014-03-23浏览:

安徽省人民政府优发国际印发安徽省

shenhuayiyaoweishengtizhizonghegaigeshidianfangandetongzhi


geshi、xianrenminzhengfu,shengzhengfugebumen、gezhishujigou:

优发国际 xianjiang《anhuishengshenhuayiyaoweishengtizhizonghegaigeshidianfangan》yinfajinimen,qingjieheshiji,renzhenguanchezhixing。



安徽省深化医药卫生体制综合改革试点方案


优发国际 weirenzhenguanchedangdeshibajiesanzhong、sizhongquanhuiheyoufaguojizongshujixiliezhongyaojianghuajingshen,anzhaoquanmianjianchengxiaokangshehui、quanmianshenhuagaige、quanmianyifazhiguo、quanmiancongyanzhidangdezhanlvebuju,jiakuaijianliquanfugai、baojiben、duocengci、kechixudejibenyiliaoweishengzhidu,baozhangrenminqunzhongjiankangshuipingbuduantigao,xianjiuquanmianshenhuayiyaoweishengtizhigaigezhidingruxiafangan:

一、基本思路

(yi)jianchigongyifangxiang,luoshizhengfuzeren。anzhaozhengshifenkai、guanbanfenkai、yiyaofenkai、yinglixingyufeiyinglixingfenkaideyaoqiu,qianghuazhengfujibenyiliaoweishengfuwuzeren,jianchijibenyiliaoweishengfuwugongyixingzhi,quebaorenminqunzhongdeshihui、yiwurenyuanshouguwu、zijinbaozhangkechixu。

优发国际 (er)jianchizhengtiliandong,tongchouxiediaotuijin。shixingsanyiliandong、neiwailiandong、shangxialiandong、quyuliandong,tongchoutuijinyiliaobaozhang、yiliaofuwu、yaopingongying、gonggongweisheng、jianguantizhizonghegaige,fahuizhengcediejiaxiaoying,zengqianggaigedexitongxing、zhengtixing、xietongxing。

(san)jianchizhongdiantupo,chuangxintizhijizhi。weiraoyigaidezhongdianlingyuheguanjianhuanjie,yinrushichangjizhi,zhongdianzaigongliyiyuangaige、yibaoguanlitizhi、fenjizhenliaozhidu、yiyaojiagexingchengjizhi、yaopingongyingbaozhangjizhidengfangmianshidianxianxing,tansuochuangxin,jifahuoli,nulijiansherenminmanyideyiliaoweishengshiye。

二、主要目标

优发国际 tongguoshenhuayiyaoweishengtizhizonghegaige,yiliaoweishengziyuanpeizhikexueheli,yiyaobuyiquanmianquxiao,yiyaojiagequanmianlishun,heliyongyaoyongcaijizhijiaoweiwanshan,xiandaiyiyuanguanlizhiduhefenjizhenliaozhidujianlijianquan,zhongxiyixiediaofazhan,duoyuanbanyigejujibenxingcheng,jibengonggongweishengfuwushuipingxianzhutisheng;yijibenyaowuzhiduweijichudeyaopingongyingbaozhangtixijinyibujianquan,yaopin、haocai、shebeihuiguihelijiazhi;zhenghechengxiangjuminjibenyiliaobaoxianzhidu,guanbanfenkaideyibaoyunxingjizhitansuoqudetupo,kexueyouxiaodeyibaozhifuzhidujibenjianli,xianghuxianjiedejibenyibao、dabingbaoxianheyiliaojiuzhuzhidugengjiajianquan。nulizuodaohuanzhefudanbuzengzhujian,yiwurenyuanshourubujianzhuzeng,yiyuanzongshouruheliyouxianzengjia,caizhengtouruheliyouxiaozengjia,yiliaofuwutixinenglimingxiantigao,renminqunzhongjiuyimanyidumingxiantigao,renminqunzhongjiankangshuipingzhubutigao。2017nianjibenwanchengyiyaoweishengtizhizonghegaigezhongdiangongzuoherenwu。2020nianjibenjianchengquanfugai、baojiben、duocengci、kechixudejibenyiliaoweishengzhidu。

三、重点工作任务

(yi)quanmiantuijingongliyiyuanzonghegaige。

1.jianlikexuehelideyaopinheyiliaofuwujiagezhidu。⑴2015nian4yue1riqi,quanshengsuoyougongliyiyuanquxiaoyaopinjiacheng。⑵xiafangdingjiaquan,shi、xianshugongliyiliaojigoudeyiliaofuwujiagexiafangdaoshijiguanli。⑶helijiangdiyaopin、gaozhiyiyonghaocai、bufenyiyongshebeijianchazhiliaojiage,dao2017nianquanshenggongliyiyuanyaopin、haocaishouruzhanyiyuanzongshourudebizhongkongzhizai40%yixia,qizhongxianjigongliyiyuanhechengshierjiyiyuankongzhizai35%zuoyou,chengshisanjiayiyuankongzhizai45%zuoyou。⑷tigaozhenliao、shoushu、huli、chuangweihezhongyifuwudengxiangmujiage,lakaibutongdengjiyiyuan、butongjishushuipingyiliaofuwuchajia,jianlichongfentixianyiliaojishufuwujiazhidejiagedongtaidiaozhengjizhi,baozhanggongliyiyuanliangxingfazhan,jibenyibaochixujiankangyunxing,qunzhongjiuyifudanbuzengjia。(shengwujiaju、shengweishengjishengwei、shengrenliziyuanshehuibaozhangting、shengcaizhengting、shengyigaibandengfuze。liediyiweideweiqiantoudanwei,xiatong)

优发国际 2.jianlixiandaiyiyuanguanlizhidu。⑴gejizhengfuchengligongliyiyuanguanliweiyuanhui,youzhengfufuzetongzhidanrenzhuren,geyouguanbumencanjia,zhuyaofuzegongliyiyuanbianzhiherenyuanguimoguanli、zichanguanli、caiwujianguan、fadingdaibiaorenpinrendengzhongdashixiang。weiyuanhuibangongshishezaitongjiweishengjishengbumen。chenglishengshugongliyiyuanguanlizhongxin,fuzeshengshugongliyiyuanyunxingjianguan。⑵wanshanjuecequan、zhixingquan、jianduquanxianghuzhiyuexianghuxiediaodefarenzhilijiegou。⑶goujianyizhanlveguihua、quanmianyusuan、jixiaokaohe、zhiliangguanli、caiwuguanli、zichanguanli、shenjijianduweihexindezhuanyehua、jingxihuaguanlizhidu。(shengbianban、shengweishengjishengwei、shengcaizhengting、shengrenliziyuanshehuibaozhangtingdengfuze)⑷shixingyuanzhangfuzezhi,mingqueyuanzhangrenzhizigetiaojian,tuixingyuanzhangzhiyehua、zhuanyehua,luoshigongliyiyuanjingyingguanlizizhuquan。⑸wanshanjixiaokaohezhidu,kaohejieguoyuyibaozhifu、caizhengbuzhu、gongzizongeguagou。(shengweishengjishengwei、shengcaizhengting、shengrenliziyuanshehuibaozhangting、shengbianban、shengyigaibandengfuze)

优发国际 3.jianlifuheyiliaoxingyetediandegongliyiyuanrenshixinchouzhidu。⑴shishibianzhi、gangweizongliangkongzhihebeianguanli,(shengbianban、shengrenliziyuanshehuibaozhangting、shengweishengjishengweidengfuze)luoshiyiyuanyongrenzizhuquan,youyiyuananzhaoyouguanguidingyoufaguojigongkaizhaopin。jianchianxushegang、jingpinshanggang、angangpinyong、yigangdingxin、hetongguanli,tonggangtongdaiyu,xingchengshuangxiangxuanze、heliliudong、nengjinnengchu、nengshangnengxia、jiliyouxiao、baozhanggongpingdelinghuoyongrenjizhi。(shengweishengjishengwei、shengrenliziyuanshehuibaozhangting、shengcaizhengting、shengbianbandengfuze)⑵yiyuangongzizongeyufuwuzhiliang、shuliangguagou,yuyiliaofuwushouru(buhanyaopin、haocaishouruhedaxingshebeijianchashouru)zhanyiyuanzongshourudebizhongguagou,yukongzhijibenyibaofeiyongzengzhangguagou,yukongzhiyiyuanzichanfuzhailvguagou,yiyuanrenjunshourushuipingzaixianyoujichushangyoujiaodafudutigao,lizhengdao2017nianrenyuanjingfeizhichuzhanyewuzhichubilidadao40%。(shengweishengjishengwei、shengrenliziyuanshehuibaozhangting、shengcaizhengtingdengfuze)⑶shixingjixiaogongzizhi,jianquanjixiaokaohetixi,lakaishouruchaju,tixianduolaoduode、youjiyouchou。⑷heliquedingyiyuanyuanzhangjixiaogongzishuiping,xinchouyoujibennianxin、jixiaonianxin、renqijilishourusanbufengoucheng,genjukaohejieguoyoucaizhengjushianpai。(shengweishengjishengwei、shengrenliziyuanshehuibaozhangting、shengcaizhengtingdengfuze)

优发国际 4.tuijinyiwurenyuanbaozhangshehuihuaguanli。anzhaoguofa〔2015〕2haoheguobanfa〔2015〕3haowenjianjingshentuijinquanshenggejigongliyiyuan(hanxiangzhenweishengyuanheshequweishengfuwuzhongxin)yanglaobaoxianzhidugaige。⑴duigaigeqianyituixiurenyuan,baochixianyoudaiyubingcanjiajinhoudedaiyudiaozheng。⑵duigaigehoucanjiagongzuoderenyuan,tongguojianlixinjizhi,shixiandaiyudehelixianjie。⑶duigaigeqiancanjiagongzuo、gaigehoutuixiuderenyuan,tongguocaiquguoduxingcuoshi,baochidaiyushuipingbujiangdi。(shengrenliziyuanshehuibaozhangting、shengweishengjishengwei、shengcaizhengtingdengfuze)

优发国际 5.wanshanzhengfutouruhezichanguanlizhidu。⑴duigongliyiyuanjibenjianshejidaxingshebeigouzhi、zhongdianxuekefazhan、rencaipeiyang、fuheguojiaguidingdelituixiurenyuanfeiyong、zhengcexingkuisunbutie、chengdangonggongweishengfuwuhejinjijiuzhi、zhibianzhinongdenggonggongfuwuyuyibaozhang。zhubutigaocaizhengbuzhushuiping,touruqingkuangnaruniandukaohe。⑵zhangqizhaiwunarutongjizhengfuxingzhaiwutongyiguanli,zhubuhuajie。⑶zhengfuzhinengbumenlvxingzichanjianguanzhize,jiaqiangyiyuanzichanjianguan,tigaozichanshiyongxiaolv。(shengcaizhengting、shengweishengjishengwei、shengrenliziyuanshehuibaozhangting、shengfazhangaigeweidengfuze)

优发国际 (er)jianlifenjizhenliaozhidu。

6.jianlifenjizhenliaojiliyueshujizhi。⑴zongheyunyongjiage、yibaozhifu、jixiaokaohedengjiliyueshucuoshi,bingfuyibiyaodexingzhengguifan,goujianjicengshouzhen、shuangxiangzhuanzhen、jimanfenzhi、shangxialiandongdefenjizhenliaojizhi,lizhengdao2017nianjibenxingchengfenjizhenliaozhidu。⑵zhidingchangjianbingzhongruyuan、chuyuanbiaozhun、zhuanzhenbanfaheyibaozhifubanfa,lakaibutongcengjiyiliaojigouyibaozhuyuanqifuxianyubaoxiaobili。⑶youxianzhenzhijicengyiliaoweishengjigouzhuanzhendehuanzhe,tigaobaoxiaobili,weijingjicengshouzhenzhijiedaoerjiyishangyiyuanjiuzhendefeijizhenhuanzhe,jiangdibaoxiaobili。⑷qianghuagongnengbujuyufengongxiezuo,youjicengyiliaoweishengjigouzhubuchengdanshouzhen、kangfuhehulidengfuwu,fenliugongliyiyuanputongmenzhen。⑸yibanchangjianbing、duofabingdezhenzhizaixianyuneijibenjiejue,2015nianxianyuneijiuzhenlvtigaodao90%zuoyou。(shengweishengjishengwei、shengrenliziyuanshehuibaozhangting、shengcaizhengtingdengfuze)

7.jianliyiliaolianheti(yixiajianchengyilianti)。yixietongfuwuweihexin,yiyiliaojishuweizhicheng,yiliyigongxiangweiniudai,yizhifufangshiweiganggan,jianliduozhongxingshideyilianti。⑴chengshiyisanjiyiyuanweilongtou,yuerjiyiyuan、shequweishengfuwuzhongxinjianlichengshiyilianti,shengshugongliyiyuangenjushengyiliaojigoushezhiguihuaqiantouzujianchengshiyilianti,zhongdianzhichiwanbeidiqu。⑵xianyuyixianjiyiyuanweilongtou,yuxiangzhenweishengyuanjianlixianyuyilianti,anzhaoxianguanxiangyong、shishilunhuandeyuanze,gulidaoxiangzhenweishengyuangongzuodefuzhurenyishiyishanghuobenkeyishangqiequdezhiyeyishizigerenyuanyouxianjigongliyiyuantongyiguanli,tigaoxiangzhenweishengyuanyiliaojishufuwunengli,qianghuaxiangzhenweishengyuanyucunweishengshiyitihuaguanli。⑶zaiyiliantineijianlifengongxiezuojizhi,tongguojishugugandaojicengyiliaoweishengjigoulungang、yuanchengzhenliaodengduozhongxingzhiyouxiaodexingshi,tuidongyouzhiyiliaoweishengziyuanyouhuazhenghe、heliliudong、xiachenjiceng,yindaohuanzhezaijicengshouzhen、kangfuzhiliao。(shengweishengjishengwei、shengrenliziyuanshehuibaozhangting、shengyigaibandengfuze)

8.tuiguangquankefuwu。⑴zaimeigexiangzhenhechengshishequ,yituoyouzizhidequankeyishenghuoyoujicengyiliaoweishengjigou(hancunweishengshi、shequweishengfuwuzhan)zujianruogangequankeyishengfuwutuandui,caiquqianyuefuwumoshi,weixiaquneisuoyoujumintigongjibengonggongweishengfuwu、jiankangguanli、chujizhenduanheshuangxiangzhuanzhendengquankefuwu,qianyuefuwufeiyouyibaojijin、jibengonggongweishengfuwujingfeiheqianyuejumingerengongtongfendan。⑵luoshibaobaozerenzhi,tuixingwanggehuaguanli、tuanduihuafuwuhejiatingyishengfuzezhi。2015nian,meigexian(shi、qu)douyaoyoufaguojishequweishengfuwuzhongxinjiatingyishengqianyuefuwushidian,qudejingyanhouquanmiantuikai。(shengweishengjishengwei、shengcaizhengting、shengrenliziyuanshehuibaozhangting、shengyigaibandengfuze)

(san)helipeizhiyiliaoweishengziyuan。

优发国际 9.kexuezhidingquanshengyiliaoweishengfuwutixiguihua。⑴anzhao《quanguoyiliaoweishengfuwutixiguihuagangyao(2015—2020nian)》tichudemubiaoheyuanze,kongzhizongliang,diaozhengjiegou,heliquedingsheng、shi、xiangongliyiyuanshuliang、guimohegongnengdingwei,youhuadiaozhenggongliyiyuanbujujiegou,goujianbujukexue、guimoshidu、cengjiheli、gongnengwanshan、xietongyouxu、yunxinggaoxiaodeyiliaoweishengfuwutixi。⑵youxianjiaqiangxianjiyiyuanfuwunengli,zhichicunweishengshi、xiangzhenweishengyuanheshequweishengfuwujigoubiaozhunhuajianshe。xianjiyuanzeshangsheyigexianbanzonghexingyiyuanheyigezhongyiyuan。shijiheshengjianrenkouguimohelishezhishibanheshengbanzonghexingyiyuan。⑶meiqianchangzhurenkouyiliaoweishengjigouchuangweishudadao4zhangde,yuanzeshangbuzaikuodagongliyiyuanguimo。zhubuzengjiazhiye(zhuli)yishi、zhucehushi、quankeyisheng、gonggongweishengrenyuan,dao2020nianyiyuanyihubidadao1︰1.25,shijijiyishangyiyuanchuanghubibudiyu1︰0.6。(shengweishengjishengwei、shengfazhangaigeweidengfuze)⑷jiadaduiwanbei、dabieshanqudengyiliaoziyuanxiangduibuzudiqudezhichilidu,gaishanyiliaoweishengtiaojian。(shengweishengjishengwei、shengcaizhengting、shengfazhangaigeweidengfuze)

10.jinyibufangkaishehuizibenbanyishichang。⑴zaiyiliaoweishengziyuanguihuazhongweishehuizibenbanyiliuchuzugoukongjian,youxianzhichishehuililiangjubanfeiyinglixingyiliaojigou,lizhengdao2020nianshehuibanyichuangweishuzhanquanshengbilichaoguo25%。(shengfazhangaigewei、shengweishengjishengweidengfuze)⑵jianligongkai、touming、pingdeng、guifandeshehuibanyizhunruzhidu,caiquyushenpi、lianheshenpidengbanfajianhuashenpishouxu,500zhangchuangweiyixiadeyiliaoweishengjigouxiafangzhixianjiweishengjishengbumenshenpi。⑶gulishehuililiangyugongliyiyuangongtongjubanxindefeiyinglixingyiliaojigou、canyugongliyiyuangaizhizhongzu,zhichifazhanzhuanyexingyiliaoguanlijituan。zhichiyigongbanminying、minbangongzhu、gongsiheyingdengduozhongxingshixingbanyiliaojigou。(shengweishengjishengweidengfuze)⑷zaishichangzhunru、yibaodingdian、nenglijianshe、zhichengpingding、xueshudiwei、dengjipingshen、jishuzhunru、keyanlixiangdengfangmian,feigongliyiliaojigou(hangetizhensuo)yugongliyiliaojigouxiangshoutongdengdaiyu。⑸feigongliyiliaojigousuoxuzhuanyerencainarudangdirencaiyinjinzongtiguihua,xiangyoudangdizhengfuguidingdeyinjinrencaidetongdengyouhuizhengce。(shengweishengjishengwei、shengrenliziyuanshehuibaozhangtingdengfuze)

11.wanshanshehuibanyiyouhuizhengce。⑴feiyinglixingminyingyiliaojigoukejiasutiqugudingzichanzhejiu。(shengcaizhengtingdengfuze)⑵zhengfuduifeiyinglixingminyingyiliaojigoujinxingzonghejixiaokaoping,binggenjukaopingjieguojiyujiangbu。(shengweishengjishengwei、shengcaizhengtingdengfuze)⑶yunxushehuizibenjubandegeleiyiliaojigoutongguoyouchangfangshiqudedetudi、touzixingchengdefangchan、shebeidenggudingzichandiyadaikuan。(anhuiyinjianju、shengweishengjishengwei、shengcaizhengtingdengfuze)fangkuanduiyinglixingyiyuandeshuliang、guimo、bujuyijidaxingyiyongshebeipeizhidexianzhi。gulishehuibanyidejutiyouhuizhengceyougeshi、xian(shi、qu)yijuyouguanfaguizhiding。(shengweishengjishengweidengfuze)⑷duitongyidiqu、yiyuanjibiexiangtongdetongleibingzhong,feigongliyiliaojigouhegongliyiyuanzhixingtongdengyibaofufeibiaozhun,yibaojijinanjidutiqianyubo。(shengweishengjishengwei、shengrenliziyuanshehuibaozhangting、shengcaizhengtingdengfuze)⑸tansuocaiquzhengfugoumaifuwudengfangshi,zhubujiangfeizhengfubanjicengyiliaoweishengjigounarujibenyaowuzhidushishifanwei。(shengweishengjishengwei、shengcaizhengtingdengfuze)

12.wanshanduodianzhiyezhidu。⑴quanmiantuixingyishiduodianzhiye,wanchengzhuyuanyishiguifanhuapeixunbingqudepeixunhegezhengshu,huocongshilinchuanggongzuoleiji5nianyishangdeyisheng,jingsuozaiyiliaojigoubeian、suozaidiweishengjishengbumenzhucehou,kexuanze2-3geyiliaojigouzhiye。⑵guligongliyiyuanyishiyouxiandaojicengyiliaoweishengjigou、feigongliyiliaojigouduodianzhiye。(shengweishengjishengwei、shengrenliziyuanshehuibaozhangtingdengfuze)

优发国际 (si)jiaqiangyiliaoweishengjigoufuwuheyunxingzhiliangjianguan。

13.jianliwanshanzhiliangpingjiatixi。⑴qianghuaduiyaopinlingchalv、yiliaozhiliang、fuwuxiaolv、jixiaokaohe、feiyongkongzhi、zichanyunying、manyidupingjiadengjianguan。⑵tansuozaigongliyiyuanjianlijixiaohechengbenkongzhiguanlipinggutixi。(shengweishengjishengwei、shengcaizhengting、shengrenliziyuanshehuibaozhangting、shengbianban、shengyigaibandengfuze)

14.jiaqiangyunxingzhiliangjianguan。⑴jianliyiwurenyuanzhiyejianguanxinxixitong,zhiyeyishishixingdaimaweiyizhi,duikaijuchufangdengzhenliaoxingweishixingquanchengjianguan。⑵liyongxianyouziyuanhuoweituodisanfang,youfaguojiyiliaofuwuzhiliang、jingjiyunxingpingjia。⑶jianlixinxigongkaizhidu,cujinyiliaoxingweiheyiliaofeiyongyangguanghua,jieshoushehuijiandu。(shengweishengjishengwei、shengyigaibandengfuze)

15.goujianhexieyihuanguanxi。⑴jianliyuanneidiaojie、renmindiaojie、sifadiaojieheyiliaozerenbaoxiandeyiliaojiufenyufanghechuzhitixi。⑵quanmiantuixingyiliaozerenbaoxian,gulijianliyiliaoyiwaibaoxian。⑶jiaqiangyideyifengjianshe,hongyangjiusifushangjingshen,tigaoyiwurenyuanrenwensuzhihezhiyesuyang。⑷gaishanjiuyihuanjing,gaijinfuwuliucheng,youfaguojibianminhuiminfuwu。⑸youhuayiwurenyuanzhiyehuanjinghetiaojian,yanlidajishangyidengweifaxingwei。(shengweishengjishengwei、shengsifating、shenggonganting、anhuibaojianjudengfuze)

(wu)tansuoyiliaobaoxianguanlizhidugaige。

优发国际 16.zhenghechengxiangjuminjibenyibaozhidu。⑴zaixianyoutongchoucengcijichushang,zhubutuijinchengzhenjuminyibaoyuxinnonghezhenghe,jianlitongyidechengxiangjuminjibenyiliaobaoxianzhidu。⑵zhenghedabingbaozhangyudabingbaoxian,zuohaojibenyibaoyudabingbaoxiandexianjie。⑶wanshanchengxiangyiliaojiuzhu、jibingyingjijiuzhuzhidu,jijifazhanshangyeyiliao(jiankang)xian,zhubujianlibingbuduanwanshanfugaiquanmin、gongnengyoubie、xingshiduoyangdeyiliaobaozhangtixi。(shengyigaiban、shengrenliziyuanshehuibaozhangting、shengweishengjishengwei、shengcaizhengting、anhuibaojianjudengfuze)

优发国际 17.chuangxinyibaoguanlitizhiheyunxingjizhi。anzhaozhengfuzhudao、shichangyunzuo、guanbanfenkai、shidujingzhengdeyuanze,tansuochengxiangjuminjibenyibaoguanlitizhigaige。zaichengxiangjuminjibenyibaoyibingguideshi、xianyoufaguojishidian,chenglichengxiangjuminjibenyiliaobaoxianguanlizhongxin,tansuoyinrushangyebaoxianchengbanchengxiangjuminyibaoshiwu。jijitansuojuminzixingxuanzejingbanjigou。(shengrenliziyuanshehuibaozhangting、shengweishengjishengweifenbieqiantou,shengbianban、shengcaizhengting、anhuibaojianjudengfuze)

18.guifanyibaoguanlizhongxinzhize。choujiheguanlichengxiangjuminjibenyiliaobaoxianjijinbingfuzeanquanyunxing;canyuzhidingjibenyibao、dabingbaoxianguanliguize,yijiduijingbanjigoudejiliyueshubanfa;anzhaoshidujingzhengyuanze,zhaobiaoruoganjiashangyebaoxiangongsichengbanjibenyibaohedabingbaoxianyewubingjianduyunxing;canyuyaopin、haocai、shebeijizhongcaigouheyiliaofuwushoufeijianguan。(shengbianban、shengweishengjishengwei、shengrenliziyuanshehuibaozhangting、shengcaizhengting、shengwujiaju、anhuibaojianjudengfuze)

优发国际 19.guifanjingbanjigou(shangyebaoxiangongsi)zhize。jianchifeiyinglixingyuanze,banlichengxiangjuminjibenyibaoyewu;chengbandabingbaoxianyewu;shenhejianguanyiliaojigoufuwufangshiheshoufei,kongzhichengben;yudingdianyiliaojigouqiandingfuwuxieyi;meijidugongbujijinshouzhiqingkuang,youfaguojiyibaojijinjingsuan,jieshouyibaozhongxinhegongzhongdejiandu;shouyibaozhongxinweituo,daishougerenjibenyibaojiaofei,quebaoquanminfugai。(shengrenliziyuanshehuibaozhangting、shengweishengjishengweifenbieqiantou,shengcaizhengting、anhuibaojianjudengfuze)

优发国际 20.tuijinjibenyibaokuomiantibiao。⑴wendingjibenyibaocanbaolv,anzhaoguojiatongyibushu,zhubutigaochengxiangjuminjibenyibaochouzishuiping,zhubuzengjiazhengfutouru,shidangtigaogerenjiaofeishuiping。⑵xiangshouzuidishenghuobaozhangderen、sangshilaodongnenglidecanjiren、dishourujiating60zhousuiyishangdelaonianrenheweichengnianrendengsuoxugerenjiaofeibufen,youzhengfujiyubutie。(shengrenliziyuanshehuibaozhangting、shengweishengjishengweifenbieqiantou,shengcaizhengting、shengminzhengtingdengfuze)⑶tansuojianlilaonianyiliaohulibaoxianzhidu。(anhuibaojianju、shengweishengjishengwei、shengrenliziyuanshehuibaozhangting、shengminzhengtingdengfuze)

21.guifanjibenyibaobaozhangfanwei。⑴jianlijibenyiliaobaoxianyaopinmulu,zaiguojiajibenyaowumulujichushang,zhenghexianyouxinnonghe、chengzhenjuminjibenyibaoyaopinmulu,zhidingtongyideanhuishengjibenyiliaobaoxianyaopinmulu。jiangfuhetiaojiandeyiliaojigouzhongyaozhijijizhenjiu、zhiliaoxingtuinadengzhongyifeiyaowuliaofajishunarujibenyibao。(shengrenliziyuanshehuibaozhangting、shengweishengjishengweifenbieqiantou,shengcaizhengting、shengwujiaju、shengyigaibandengfuze)⑵wanshanquanshengchengxiangjuminjibenyiliaofuwumulu,yijuguojiajibenyibaobuyubaoxiaohebufenbaoxiaozhenliaomulu,jiehewoshengshiji,yifumianqingdanxingshizhidingjibenyiliaofuwumulu。(shengweishengjishengwei、shengrenliziyuanshehuibaozhangtingfenbieqiantou,shengcaizhengting、shengwujiaju、shengyigaibandengfuze)⑶zhidinganbingzhongfufeimulu,anzhaofenjizhenliaoyuanze,quedingbutongdengjiyiyuandeheshibingzhong,zhidingbingzhonglinchuanglujing,heliquedingbingzhongshoufeiheyibaofufeibiaozhun。⑷anzhaobaojibendeyuanze,yibaojijinzhuyaobaozhangjibenyiliaobaoxianyaopinmulu、jibenyiliaofuwumuluneidexiangmu,baoxiaobilianyiliaoweishengjigoucengjiqueding,cengjiyuedibaoxiaobiliyuegao。⑸gejiyiliaoweishengjigouyouxianpeibeishiyongguojiajibenyaowu,jinyibutigaoyibaobaoxiaobili。(shengweishengjishengwei、shengrenliziyuanshehuibaozhangting、shengcaizhengting、shengwujiajudengfuze)

22.gaigeyibaozhifufangshi。⑴jianlijuminyibaomenjizhentongchoubaoxiaozhidu,shixingmenjizhenjiuzhenbaoxiao。⑵wanshanyibaofufeizongekongzhi,tuijinyianbingzhongfufeiweizhudezhifufangshigaige,dao2017niangongliyiyuan50%yishangdezhuyuanhuanzheshixiananbingzhongfufei。⑶jiakuaijianliyibaojingbanjigouyuyiliaojigoujiage、fufeifangshitanpanxieshangzhidu,kongzhiyiliaofeiyongbuhelizengzhang。(shengweishengjishengwei、shengrenliziyuanshehuibaozhangting、shengcaizhengting、anhuibaojianju、shengyigaibandengfuze)

(liu)shenhuayaopincaigougongyingzhidugaige。

23.shixingyaopin、haocai、shebeijizhongcaigou。⑴jianchizhaoshengchanqiye、zhaocaiheyi、liangjiaguagou、shuangxinfengzhidengyuanze,quanshengjizhongzhaobiao,gedidailiangcaigou,jishipeisongdaowei,shixinghetongguanli,quanchengyangejiandu。⑵yaopin、haocaiyouquanshengtongyizhaobiaoquedingshengchanqiyehejiage(kezuoweiyibaozhifucankaojia),dailiangcaigouyuanzeshangyishiweidanwei。shebeicaigouyishengweidanweizhijiezhaoshengchanqiye。⑶duiyongliangbuqueding、qiyebuchangshengchandedilianjiayaopinjianlimuluqingdan,youyiliaojigouwangshangzixingcaigou,quebaomanzuqunzhongjibenyongyaoxuyao。(shengweishengjishengwei、shengrenliziyuanshehuibaozhangting、shengcaizhengting、shengshipinyaopinjianguanju、shengwujiaju、shengyigaibandengfuze)

优发国际 24.duotujingjiangdiyiyuanyaopin、haocaiheshebeijianchafeiyong。⑴jianchiheliyongyao、helishiyonghaocai、helijiancha,jianlijiagegao、yongliangda、feizhiliaofuzhuxingdengzhongdianyaopinjiankongmulu。⑵yiyuangongzizongeyuyaopin、haocai、jianchashouruzhanbiguagou,yiqiansannianjiaquanpingjunshuzuoweikaohejishu,zhanbijiangdizegongzizongexiangyingtigao,zhanbitigaozegongzizongexiangyingjiangdi,quebaoyaopin、haocai、jianchashouruzhanyiyuanzongshourudebizhongzhunianxiajiang。⑶jiaqiangneibujiandu,duizhiyeyishichufangdengzhenliaoxingweitongyiwangluojianguan。⑷jiaqiangguochengjiankong,qiandingyangguangxieyi,duiweiguigongyingshangshixingheimingdanzhi。(shengweishengjishengwei、shengwujiaju、shengrenliziyuanshehuibaozhangting、shengcaizhengting、shengyigaibandengfuze)

优发国际 25.guifanyaopinliutongzhixu。⑴yangeguifanzhunru,tigaoyaopinpifaqiyejizhongdu,jianshaoliutonghuanjie,guifanshichangzhixu,cujinyouxujingzheng。⑵yanlidajiyaopinshengchanjingyingqiyeguakaojingying、zujiezhengzhao、xiaoshoujialieyaopin、shangyehuiluyijiweizao、xukaifapiaodengweifaweiguixingwei,shishiyiyaogouxiaolingyushangyehuilubuliangjiluguanli。(shengshipinyaopinjianguanju、shengweishengjishengwei、shenggongantingdengfuze)

优发国际 (qi)shenhuajicengyiyaoweishengtizhizonghegaige。

26.全面推行财政经费定项补助。乡镇卫生院和社区卫生服务中心不实行收支两条线管理,其收入来源:优发国际 - 首页

27.jiaqiangjicengyiliaoweishengjigoujixiaokaohe。⑴wanshanxiangzhenweishengyuanheshequweishengfuwuzhongxinkaohebanfa,zhuyaokaoheguanlijixiao、fuwuzhiliangheshuliang、heliyongyao、yiliaofeiyongkongzhi、zhuanzhenlv、gonggongweishengfuwurenwuwanchenghecunweishengshiguanliqingkuang、qunzhongmanyidudeng,kaohejieguoyudanweigongzizongeguagou。⑵shixingquanejixiaofenpeiheanyueyufenpei、nianzhongzongjiesuanzhidu,luoshiyuanzhang(zhuren)fenpeizizhuquan,tigaojianglixingjixiaogongzibili,helilakaishouruchaju,diaodongyiwurenyuantebieshiyewugugandejijixing。⑶kaohegongzuoyouxianjiweishengjisheng、caizheng、renliziyuanshehuibaozhangbumenyoufaguojishishi。(shengweishengjishengwei、shengcaizhengting、shengrenliziyuanshehuibaozhangting、shengbianbandengfuze)

28.luoshizhengfutouruzeren。xiangzhenweishengyuanheshequweishengfuwuzhongxinjibenjianshe、shebeigouzhijigengxin、zhouzhuanfangjianshejingfeideng,youxianjizhengfufuze,yeketongguozhengfugoumaifuwudengfangshizhichiminyingyiliaoweishengjigoutigongjibenyiliaoweishengfuwu。(shengcaizhengting、shengweishengjishengwei、shengfazhangaigeweidengfuze)

29.tishengzhongxinweishengyuanfuwunengli。⑴shiyingxinxingchengzhenhuafazhanyaoqiu,youxudiaozhengxiangzhenweishengyuanbuju,cujinrenliziyuanheshebeiziyuanxiangzhongxinweishengyuanjizhong,fuchishilijiaoqiangdezhongxinweishengyuanchuangjianerjizongheyiyuan,lizhengdao2017nianquansheng1/3dezhongxinweishengyuandadaoerjizongheyiyuanshuiping。⑵tuidongzhongxinweishengyuanjianyan、yingxiang、xindian、naodian、binglidengxinxiyuxianjijiyishangyiyuanzhenduanzhongxinhulianhutong、jishugongxiang。(shengweishengjishengwei、shengcaizhengting、shengrenliziyuanshehuibaozhangtingdengfuze)

30.wanshancunweishengshijingfeibaozhangjizhi。⑴quanmianluoshicunweishengshiyaopinlingchalvbuchang、yibanzhenliaofei、jibengonggongweishengfuwujingfei、yunxingjingfeidengbuchangzhengce,jiaqiangduicunweishengshijibengonggongweishengfuwushuliangjizhiliang、jibenyaowutongyicaigoujilingchalvxiaoshoudengqingkuangdekaohe,kaohejieguoyudangnianbuzhuzongehexianiandubuzhujingfeiyubobiliguagou。kaohegongzuoyouxiangzhenweishengyuangenjuxian(shi、qu)weishengjishengbumenqiantouzhidingdecunweishengshikaohebanfafuzeshishi。⑵tigaoxiangcunyishengshouru,jiangcaizhengduinongcundiquxinzengdejibengonggongweishengfuwubuzhuzijin,yizhengfugoumaifuwufangshiquanbuyongyuxiangcunyisheng。⑶caizhenggenjuhedingrenwulianghexiangzhenweishengyuanduixiangcunyishengdekaohejieguodengjiyubuzhu。duijiankudiquxiangcunyishengjixujiadabuzhulidu。⑷caiqugongjianminying、zhengfubuzhudengfangshi,zhichicunweishengshijiansheheshebeicaigou。(shengcaizhengting、shengweishengjishengweidengfuze)⑸tansuoshishixiangcunyishenghenongcunjuminqianyuefuwumoshi,binganguidingshouqufeiyong。(shengweishengjishengweidengfuze)

31.jiaqiangxiangcunyishengduiwujianshe。⑴anzhaomeiqianfuwurenkoubushaoyu1rendebiaozhunpeibeixiangcunyisheng。⑵duixiangcunyishengmianfeiyoufaguojipeixunhetuozhanpeixun。duidazhuanyishangxuelidexiangcunyishengtigongdaodayiyuanpeixundejihui。mianxiangcunweishengshimianfeidingxiangpeiyangsannianzhizhonggaozhiyixuesheng。zhichigengduozaigangxiangcunyishengjinruzhonggaodengyixueyuanxiaojieshouxuelijiaoyu,jianlixiangcunquankezhiyezhuliyishizhidu。⑶tuokuanxiangcunyishengfazhankongjian,xiangzhenweishengyuanyouxianpinyongxiangcunyisheng,daocunweishengshigongzuodeyixuebenkebiyeshengyouxiancanjiazhuyuanyishipeixun。⑷cujinxiangcunyishengzhubuxiangzhiyezhuliyishizhuanhua,tuidongxiangzhenweishengyuanlingbancunweishengshi。⑸jianquanxiangcunyishengzhunru、jingzhengshanggang、daolingtuichuhekaohetuichujizhi。wanshanlaonianxiangcunyishengshenghuobaozhangjizhi,zaigangxiangcunyishengyanglaobaoxianbizhaocunganbuzhengcezhixing。⑹wanshancunweishengshizhiyefengxianfangfanjizhi。(shengweishengjishengwei、shengcaizhengting、shengrenliziyuanshehuibaozhangting、shengjiaoyuting、anhuibaojianjudengfuze)

(ba)tuijinzhongyiyaoshiyefazhan。

32.chuangxingonglizhongyiyiyuanmoshi。⑴tansuojianlizhongyiyaofuwufenleibuchangjizhi,youfaguojigonglizhongyiyiyuanjituanhuaguanlihuotuoguanshidian,panhuocunliangziyuan,tuxianpinpaixiaoying,tuozhanfuwufanwei。⑵zhenghezhongyiyuzhongyao、gongbanyuminying、minshengyuchanyedengkuaxingyekualingyudexiangguanziyuan,quanshengxingcheng3-5gefugaiquanshengmingzhouqidezhongyiyaojiankangfuwulianmeng,tishengzhongyiyaoziyuanliyongxiaolv。(shengweishengjishengweidengfuze)

33.chuangxinzhongyiyaofuwumoshi。⑴dazaojiyiliao、baojian、jiaoyu、keyan、wenhua、chanye“liuweiyiti”dezhongyiyaoliandongfazhanmoshi,zhongdianfazhanyijiankangyanglao、yangshengbaojian、manbingkangfu、jiankanglvyoudengyetaiweizhongdiandezhongyiyaojiankangfuwu,dazaoneibuchongmanhuoli、duiwaikaifangjianrongdezhongyiyaofuwutixi。⑵shishizhongyiyaochuanchengyuchuangxinrencaigongcheng,jianlifuhezhongyiyaotediandeyishifenleiguanlizhidu。⑶fahuizhongyiyaojianbianyanliandeteseyoushi,guliheyindaoyiliaojigouheyiwurenyuantigongheshiyongzhongyiyaofuwu。(shengweishengjishengwei、shengrenliziyuanshehuibaozhangting、shengjiaoyutingdengfuze)

优发国际 (jiu)tigaojibengonggongweishengfuwushuiping。

34.changdaojiankanglinian。⑴zhidingquanminjiankangxingdongjihua,chongfenliyonggezhongmeiti,jiaqiangjiankang、yiyaoweishengzhishichuanbo,pujijiankanglinian,changdaojiankangshenghuofangshi,youfaguojijiankangziwoguanli,cujingongzhongheliyingyang,rangqunzhongyuanliweihaijiankangdeyinsu。⑵jiangjiankangjiaoyunaruguominjiaoyutixi,peiyanglianghaodeshenghuoxiguan,zhidingqingshaonianshentijiankang、xinlijiankangbiaozhunbingshishikaoping。⑶jiaqianggaoxueya、tangniaobing、zhongxingjingshenjibinghuanzhe、65suiyishanglaonianren、ertong、yunchanfujiliudongrenkoudengzhongdianrenqunjiankangguanli。(shengweishengjishengwei、shengjiaoyutingdengfuze)

优发国际 35.wanshanjibengonggongweishengfuwumulu。⑴luoshiguojiagonggongweishengfuwuxiangmu,guligeditigaojibengonggongweishengfuwuxiangmuchouzibiaozhun,kuodafuwufanwei。⑵tigaorenjunjibengonggongweishengfuwujingfeibiaozhun,2017niantigaodao50yuanzuoyou。(shengweishengjishengwei、shengcaizhengtingdengfuze)

36.wanshanjixiaokaohejizhi。⑴jianliwanshanjibengonggongweishengfuwujixiaopingjiazhibiaotixi,youweishengjisheng、caizheng、fazhangaigedengbumenshishijixiaokaohe。⑵jianlidisanfangkaohejizhi,tigaozijinshiyongxiaoyi。⑶wanshangonggongweishengxinxixitonggongneng,shixianduijibengonggongweishengfuwushuliang、zhiliang、zijin、xiaoguoquanguochengjianguan。(shengweishengjishengwei、shengcaizhengting、shengrenliziyuanshehuibaozhangting、shengbianbandengfuze)

优发国际 37.diaozhengzijinbofufangshi。⑴zhongyangheshengjibuzhuzijinnianchuyubo、niandiqingsuandaoxian(shi、qu),xian(shi、qu)jiduyubojiajiesuandaojicengyiliaoweishengjigou。⑵gejigenjujibengonggongweishengfuwuxiangmujixiaokaoheqingkuangjiesuan。⑶duijingkaohedabudaoguifanyaoqiudejicengyiliaoweishengjigou,koujianjibengonggongweishengfuwubokuanzhizhiquxiaoqitigongjibengonggongweishengfuwuxiangmuzige。(shengcaizhengting、shengweishengjishengweidengfuze)

优发国际 (shi)tishengrenkoujiankangxinxihuashuiping。

38.jianlianhuirenkoujiankangxinxiwang。jiaqiangyudianxinyunyingshanghezuo,jianlianhuirenkoujiankangxinxiwanghesheng、shi、xiansanjizonghexinxipingtai,shixianquanyuanrenkouxinxi、dianzijiankangdanganhedianzibinglisandashujukuziyuanzhenghe,shixiangonggongweisheng、jihuashengyu、yiliaofuwu、yiliaobaozhang、yaopinguanli、zongheguanlidengliudayewuyingyongxitongxinxiziyuanhulianhutong。zhubujianlijuminjiankangyiliaoxinxikuajigou、kualingyugongxiangjizhi。dao2017nian,jianchengsheng、shi、xiansanjiquyuxinxiguanlipingtai、jishuzhiliangpingtaihequanshengtongyiyiliaobianminfuwupingtai。jiakuaituijinjuminjiankangkafaxingheshiyong。(shengweishengjishengwei、shengfazhangaigewei、shengcaizhengting、shengrenliziyuanshehuibaozhangting、shengwujiajudengfuze)

39.dalifazhanyuanchengyiliao。chongfenliyongyuanchengyiliaodengxinxihuashouduan,tigaojicengyiliaofuwunengli。2015nian,shengjijianliweizhongjibinghuizhenxitong,shi、xianjianliquyuyuanchengyingxiang、jianchajianyandengxitong,rangqunzhongjiujinxiangshoudaozhuanjiadeyouzhifuwu。(shengweishengjishengwei、shengcaizhengtingdengfuze)

优发国际 (shiyi)jianlishiyingxingyetedianderencaipeiyangyuguanlizhidu。

40.jianlizhuyuanyishi、zhuankeyisheng、quankeyishengpeixunzhidu。⑴jianchitongyibiaozhun、tuchushijian、guifanguanli、zhuzhongshixiao、youxiaobaozhang,jiakuaijianlizhuyuanyishiguifanhuapeixunzhidu,tansuojianlizhuankeyishipeiyangzhidu。⑵jianlitongyidequankeyishengpeixun、guanliheshiyongzhidu,guifanquankeyixuekeshishezhi、gangweishezhi、zhiyezhuce、zhichengjinshengdengguanligongzuo,jiakuaituijinquankeyishengzhiyefangshihefuwumoshigaige,luoshiquankeyishengtegangjihuashidiangongzuo。dao2020nian,meiwanchangzhurenkouquankeyishengrenyuanshudadao2ren。⑶jiaqianghuli、jicenggonggongweishengdengzhuanyejishurenyuanpeixun。(shengweishengjishengwei、shengrenliziyuanshehuibaozhangting、shengjiaoyutingdengfuze)

41.jiaqiangweishenggaocengcirencaiduiwuxuanbapeiyangshiyong。⑴shishiweishengzhuanyelingjunrencaipeiyangjihua,zhongdianpeiyangxuekedaitouren。⑵yi“jianghuaimingyi”dengxiangmuweiyituo,jiaqiangweishengzhuanyejishuguganpeiyang,jianshegaocengciweishengrencaiduiwu。⑶wanshanweishenggaojizhuanyejishurencaipingjiatixi,jiadaduinongcunhechengshishequweishengzhuanyejishurenyuanpingshenzhengcedeqingxie,yindaoweishengjishurenyuandaojicengfuwu,jiangjicengfuwujinglizuoweizhichengpingdingdebiyaotiaojian。(shengweishengjishengwei、shengrenliziyuanshehuibaozhangting、shengjiaoyutingdengfuze)

四、保障措施

优发国际 (yi)jiaqianglingdao,xiediaotuijin。shidiangongzuoyoushengweiquanmianshenhuagaigelingdaoxiaozutongyilingdao,shengyigailingdaoxiaozufuzetongchouxiediao、ducutuijin。shengzhengfuyugeshiqiandingnianduyigaimubiaozerenshu,naruzhengfumubiaoguanlijixiaokaohe。geshi、xian(shi、qu)yaobashenhuayiyaoweishengtizhigaigezuoweiyixiangzhongdazerengongcheng、minshenggongcheng,yibashoufuzongze,fenguanlingdaojutifuze,jianliyoufaguojilingdaojigouhegongzuozhuanban,zhidingshishifangan,renzhenyoufaguojiluoshi,quebaogaigeshunlituijin。

(er)mingquerenwu,jiaqiangducha。shengyigailingdaoxiaozugechengyuandanweigenjurenwufengong,fuzeyanjiuzhidingxiangguanpeitaozhengcewenjian。geqiantoubumenzhuajinzhidinggongzuotuijinfangan,tichukejianyandechengguoxingshihejinduanpai,qitazerenbumenjijipeihe。gebumengedanweiyaojishigoutongxiediao,jiaqiangyushixianxianjie,xingchenggongzuoheli。shengyigailingdaoxiaozufuzedingqiduchazhidao、kaohetongbao,jishixiediaojiejueshidiantuijinzhongchuxiandewenti,buduanwanshanzhengcecuoshi。gaigeshidianrenwuluoshiqingkuangshixing“taizhangxiaohao”zhidu,nianzhongjiancha,niandiduizhang。

(san)zengjiatouru,tigaoxiaoyi。jianquanyizhengfutouruweizhu、duoqudaochoujiweishengjingfeidetizhi,zengjiaweishengtouru。zhuanbiantourufangshi,gaigebuchangbanfa,zuidaxiandufahuizijinshiyongxiaoyi。zhongdianzhichigonggongweisheng、jicengyiliaoweishengshiyefazhanhejibenyiliaobaozhang,jiadaduigongliyiyuangaige、yiliaoweishengkejijinbuherencaiduiwujianshedengdejingchangxingtouru。

优发国际 (si)jiaqiangxuanchuan,yingzaofenwei。caiquduozhongxingshi,jiaqiangzhengcejiedu,guangfanxuanchuangaigeshidiandezhongdayiyihezhuyaozhengcecuoshi,jijiyindaoshehuiyuqi,jishihuiyingshehuiguanqie,zengqiangrenminqunzhongheyiwurenyuandexinxin,shiquanshehuilijie、zhichigaige,weishenhuagaigeyingzaolianghaodeyulunhuanjing。