RESUMEN
Based on the literature research and ROCCIPI framework,the paper analyzes Tianchang County's New Rural Cooperative global per capita budget reform under the context of the county's healthcare alliance from the perspectives of the policy content,opportunity of development,motivation,process and capacity and the cognition of stakeholders in relevant.In addition,the dissection of the factors and conditions,as well as the latent problems and the corresponding recommendations of the reform,is put forward.
RESUMEN
The countywide healthcare reform in Anhui province since 2015 was analyzed in the paper.The reform is based on the integration of healthcare management system and health service system of the new rural cooperative medical system (NCMS).The core of reform is regional global per capita budget of NCMS.The reform promotes the county′s healthcare institutions to shift from profit oriented to costs control, improves their quality of care, emphasizes disease prevention and control, and maintains residents health.Next, we should pay attention to the rationality of funds balance and benefits distribution, and the training of county healthcare personnel.
RESUMEN
This paper analyzed and concluded successful experience and mechanisms of regional global per capita budget implemented since 2015 in Anhui province,including the formation of mutual incentive and restraint mechanism, the mechanism of controlling expenses spontaneously and resource allocation efficiently.After the reform, flow of hospitalized patients was more rational, and the financial burden of patients was alleviated, while the capacity of medical institutions was improved notably in pilot counties.The successful experience of Anhui province can put forward corresponding suggestions to guide the future work in other areas.