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新余钢铁公司在建立现代企业制度改革的试点中,以建立社会保障制度为依托,积极探索劳保医疗制度改革,遵照国务院四部委《关于职工医疗保障制度改革扩大试点意见》的文件精神,依照新余市职工医疗保险制度改革实施方案,结合本公司实际情况,制定了《新余钢铁公司医疗保障制度实施细则》。公司现有职工医院四所,拥有800张病床,1300余名医务人员。长期以来,受计划经济体制影响,医院奉行单纯福利型公益事业单位运营方式,经济上靠公司拨款,不足即向公司要,企业有困难就等,医院人员工资奖金全部由公司包揽,在管理上,着重点放在可控费用上,忽视对医药费用、经济效益、医疗质量、服务质量、医德医风的考核。这种管理体制不适应市场经济的要求,其表现在医院的经济风险意识,成本与效益意识,服务效率意识不强。在体制上,医院不是独立的经济运行主体,不具法人资格,缺
Xinyu Iron and Steel Company in the establishment of a pilot reform of the modern enterprise system, to establish a social security system as the basis, and actively explore the reform of the medical insurance system, in accordance with the four ministries of the State Council “on the reform of the medical insurance system, workers and workers to expand the pilot comments,” the spirit of the document, Employee Medical Insurance System Reform Implementation Plan, combined with the actual situation of the Company, formulated the “Xinyu Iron and Steel Company Medical Security System Implementation Rules.” Company’s existing staff hospital four, with 800 beds, more than 1,300 medical staff. For a long time, under the influence of the planned economic system, the hospital pursues the operation mode of simple welfare public welfare institutions, which is funded by the company economically. The insufficiency is that it is required from the company, and the enterprise has difficulties. The hospital staff salary bonuses are all taken over by the company and managed , Focusing on controllable costs, ignoring the examination of medical expenses, economic benefits, medical quality, service quality and medical ethics. This management system does not meet the requirements of the market economy, its performance in the hospital awareness of economic risk, cost and effectiveness of awareness, awareness of service efficiency is not strong. In the system, the hospital is not an independent main body of economic operation, not legal personality, lack of