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自1988年起,列宁格勒等地进行了完善卫生事业管理经济机制的试验。实验的目的是根本改善医疗服务,实验的任务是制定把机构转轨到最有效地利用资源、保证提供高质量医疗服务所需的条件以及对部门活动进行经济影响的方法。提出了组织医疗联合企业的设想。制定了医疗联合企业经费来源、组织结构、经费核算方法。扩大了医生的权力,地段医生成为给患者提供医疗服务的资金的支配者。可以根据医务工作者的贡献进行工资分配,从而调动各类人员的积极性,增强医务系统的整体效益。
Since 1988, Leningrad and other places have conducted experiments to improve the economic mechanism for the management of health services. The purpose of the experiment is to fundamentally improve medical services. The task of the experiment is to formulate ways to shift the organization to the most efficient use of resources, to ensure the conditions required to provide high-quality medical services, and to make economic impacts on departmental activities. The idea of organizing a medical joint venture was put forward. The funding sources, organizational structure, and accounting methods for medical conglomerates were established. The power of doctors has been expanded, and doctors in lots have become the dictator of the funds that provide medical services to patients. The distribution of wages can be based on the contributions of medical workers, thereby mobilizing the enthusiasm of all types of personnel and enhancing the overall effectiveness of the medical system.