【摘要】 目的:探讨"义乌模式"在全国精神卫生防治财政保障中的推广可行性。方法:在介绍义乌市对精神卫生机构、精神障碍患者及其家属的补偿方式及水平的基础上,分析其特点和存在问题,总结启示和探讨在全国范围内推广适用条件。结果:在"收支两条线"管理模式下给予机构更多自主权;全额拨款水平根据经济发展水平逐年增长;引入内部竞争机制,激励员工和提高绩效;非户籍常住精神障碍患者应被纳入保障体系。结论:在全国范围内推广应注意:收支两条线的管理模式适用基层精神卫生机构;全额拨款需要经济支撑;提高对患者的补助政策的可操作性。更多还原

【Abstract】 Objective: To study the application of Yi-wu model on financing practice of mental health treatment and prevemtion;Methods: Based on analyzing the investment and reimbursement of mental health institution,patients and their family member in Yi-wu,exploring their strength and issues in this system and preconditions when its extend to the broad areas;Results: Mental health institution should provide more independence under the management model of seperation of revenue and expenditure;government investment need increase follows the economic growing;and non residency registered patients should be convered in this system;Conclusions: The management model of seperation revenue and expenditure adequate in the basical mental health institutions;whole coverage input need support by the local economic level;and more feasible policies should be development for mental patients.更多还原