TỰ CHỦ TÀI CHÍNH BỆNH VIỆN ĐA KHOA TỈNH LÀO CAI GIAI ĐOẠN 2015 – 2019: MỘT SỐ KHÓ KHĂN VÀ THUẬN LỢI

Abstract

Objectives: The study was conducted to find out the difficulties and advantages of the Lao Cai General Hospital in the process of implementing financial autonomy in the period 2015 – 2019. Methods: Design a qualitative study using in-depth interviews and group discussions with representatives of hospital directors, functionaldepartmentleaders, health insurance assessors, department administrators, materials and medical equipment management staff at the Lao Cai General Hospital. Results: Policies for disclosing revenues and expenditures, internal expenditures, rewards and sanctions, scale and quality of medical examination and treatment, quality and quantity of human resources, facilities and equipment are intrinsicfactors that directly affect the hospital financial autonomy implementation. Conclusion: In order for being successful in the financial autonomy, the hospital should continue to focus on the quality of medical services, strengthen the development of new technical services, on-demand technical services, and improve capacity of financial management staff, regularly opening training classes, fostering new financial management policies to raise awareness, change attitudes and behaviors of hospital staff.