改革卫生事业费管理的做法和体会

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为了把卫生事业费确实用到部队基层指战员身上,某团从1978年起,将卫生事业费由“团统一管理”改为“团、营两级预算、按需供应、计划管理”。他们的做法是:一、卫生事业费包干到营。根据全军统一的干部、战士卫生事业费标准和各营的供应实力人数,把各营应得的卫生事业费指标拨给各营卫生所直接掌握,团卫生队掌握团机关、直属分队的卫生事业费指标。为解决团卫生队门诊、对营镶装、增添医疗设备及外诊报销等项开支,团提取各营卫生事业费的20%由卫生队集中掌握使用。二、营编造药材预算,团统一筹措供应。各营根据卫生事业费情况和药材需要情况,按季度编造药材预算,然后由团卫生队统一请领、采购,按各营预算的品种、数量供应。同时进行统一核算。通过三年多的实践,他们认为这样管理卫生事业费有一定的优越性,主要是:一、卫生事业费用到了基层。过去卫生事业费由团统一掌握,机关用得多,基层用 In order to ensure that the health service expenses are actually applied to grassroots commanders and soldiers of the armed forces, a certain regiment has changed the public health service fee from “unified management of the regiment” to “regiment” in 1978 and has a budget of two battalions, on-demand supply, plan management ". Their approach is: First, the health insurance package to dry camp. According to the unified military cadres, soldiers, health standards and camp supply strength of the number of battalions should be earned by the Health and public health fees allocated to each battalion directly grasp the regiment health team to regiment organ directly under the detachment of health Business expenses index. In order to solve the outpatient mission of the CYL clinic, 20% of the health service fee collected from the camps was collected and used centrally by the DH in the camps for the expenses of setting up camps, adding medical equipment and reimbursing for outpatient services. Second, the battalion made medicine budget, the group unified financing. Camp battalions according to health conditions and the needs of medicinal herbs, prepared quarter by quarter of medicinal herbs budget, and then unified by the health team to recruit, purchase, according to the battalion budget variety, quantity supply. At the same time unified accounting. Through more than three years of practice, they think there are some advantages in managing public health expenditure in this way. The main ones are as follows. First, the cost of health care has reached the grassroots level. Past medical expenses by the group unified control, agencies use more grass-roots use
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