Based on an analysis of the compensation policy and its problems of the primary medical and health institutions, this paper put forward the corresponding reform framework in Zhejiang province. It proposed to change the compensation policy of " predefining revenue and expenditure, subsidizing its gap after performance appraisal" into " a mixed system of special subsidy and pay for performance". Related policies were also described including governmental functions, special subsidies for input-based payments, classified payments for output services, precautions against financial risks, etc. This paper also suggested that we focus on dealing with the six pairs of balance, such as that between subsidy for the supply and demand sides, and that between internal market and external market.

近日,浙江省卫生计生委调研显示,该省探索多种医养模式应对日益增长的养老需求,取得一定成效.但由于医养模式牵涉多方利益,在实践中出现套取医保基金、康复老人拒绝出院,"压床"现象普遍等问题.相关专家呼吁,政府应尽快做好医养结合领域顶层设计,切实依法规范医养结合养老服务市场.