“zaitiaojianchengshushi，yiliaojigouzaibaoliuhexinyewudeqiantixia，jiangneibuyiyaowuliuziyuanquanbuboli、zhenghe，waibaojishangyouqiye。”shanghaishiminxingquweishengjujuzhangxusuriqianzaiyoushanghaixinyiyaochangjubandedisanjiewenhuixinyiweishenggaocengluntanshangtoulu。
zheiyiweizhe，yiduzaoshouwushuzhiyi、huiyucanbande“minxingmoshi”bingweitingzhigaige，zaipaokaierciyijia、xingzhengganyuguoduodezhiyizhiguzhihou，rengzaiyiyiyaogongyinglianhezuoweiqiantideguidaoshangjixutansuoqianxing，jinxingmoshiyanshen。
闵行之变
minxingqudeyaopinzonghegaigeshiyu2005nian，jingguo3gejieduandefazhan，xingchenglemuqianyi“yitihuadegongyinglianxitong”weizaitideyaopingongyingbaozhangtixi，qigaigedezongtisilushiliyongxiandaiwuliu、dianzishangwu、xinxihuadengxiandaihuadeguanlifangshishixianyaopinzaiminxingqudehelianquanshiyong。
juxusujieshao，zhenggeyaopingaigefenweisandabuzhou：liutongliuchengzaizao；yishengheliyongyao；zuizhongshixiananquanyongyao。erminxingzhenggeyaopingaigedeqierudianshiliyongxiandailiutongfangshigoujianyaopingongyingbaozhangtixi，qizhongzuiweizhongyaodeshiyiyaogongyinglianhezuotixidegoujian。
yiyaogongyinglianhezuoshizhiyiliaojigoutongguoyuyaopin、yiyonghaocaidengyiyuanwuliaogongyingshang、peisongshangjianlizhanlvexingxiezuoguanxi，yijiangdiyiliaofuwuchengbendegongyingwangluoyitihuajiejuefangan。jutoulu，muqianminxingqudegongyinglianxitongdezhongdatupojiushibayiyuanyuanneideyaopinkucunguanliwaibaojigongyingshang，gongyingshanggenjuquneijiyiyuandeshijiyaopinshiyongqingkuang，shixianshishideguanli。zaiminxinggoujiandegongyinglianxitongdangzhong，yiliaojigougaibianzhangqiyanyongdezizhubuhuofangshi，xiangshangyouqiyekaifangkucunxinxi，rangduzhongbiaoyaopinkucunkongzhiquan；minxingquannian、yuexiangshangyouqiyetigongjin3niansuoyouzhongbiaoqiyedecaigoushuju，xiezhushangyouqiyezhangwoyaopinxuqiutedian，shezhimeizhongyaopindezuida-zuixiaokucunliang；yibanyaoqiushangyouqiyeanzuidakucunliangpuhuo，bingjiangduiyiliaojigoudepudikucunshiweizaitukucun，zaipiaohuotongxingdejichushang，guanliyiliaojigouyaopinkucun；yaopinkucunxinxijinxingjishigengxin，dangyaopinkucundadaoxiaxianshuipingshi，gongyinglianxitongyujing，shangyouqiyeanshangxianshuipingzidongbuhuo。
zaishixingshangyougongyingshangguanlikucundetongshi，minxingqutongshishixingleguifangongyinghetongjinxingdanyihuoyuanchengnuo、shiyongdisanfangjiesuan、chuangxinjianguanfangshidengcuoshilaibaozhengzhenggetixideyunxing。
erduibigaigeqianhoudeshuju，minxingqugexiangzhibiaodebiaoxianjunhaoyushanghaishidepingjunbiaozhun，qiezengsuyuanyuandiyushanghaijiquanguodezengzhangshuiping。liru：minxingqudemenjizhenrencipingjunyaopinfeiyong，gaigeqianwei79.7yuan，mingxiangaoyuquanguoshuipingde49yuan，er2009nianxiajiangle13yuan，ertongqiquanguoshuipingtigaole16yuan，liangzheyixiangduichiping。minxingqudeyiliaojigouyaopincaigougongyingchengbenyecong2004niande9.74%xiajiangdaole2009niande7.08%，erquanguo2009niangaizhibiaowei11.64%。minxingquyiliaojigoumuqiandeyaopinkucunzhouzhuanlvwei28.03ci/nian，jiao2004niantishengle10ci/nian，yuangaoyuquanguo12ci/niandeshuiping。zuituchudeyixiangshi，minxingqudeyaopinhuikuantianshuzhiyou10tianzuoyou，erquanguopingjunyiliaojigoudehuikuantianshudadaole150tian。
genjuguojitongxingdekucunchiyouchengbenjisuanfangshijinxingcesuan，woguogongliyiliaojigouyaopinkucunzhouzhuanshumeizengjia1ci，yaopinkucundayuejianshao16.08yiyuan，liutongchengbendayuekejiangdi0.44%；huikuanshijianmeisuoduan1tian，duiqiyedezijinzhanyongjianshao5.41yiyuan，liutongchengbenyuejiangdi0.15%。“jiangdichengbenshigongyinglianhezuodeshouyaorenwu，yeshi‘minxingmoshi’shoudaotuichongdeguanjiandian。”mouyeneizishenrenshizhichu。shanghaiyiyaomoufuzerentoulu：“womenyefenxiangle‘minxingmoshi’degaigechengguo，guoquwomenyingshouzhangkuanshi90tian，xianzaishi15tian。”
模式完善
jinguanyoupoduokequankedianzhichu，dan“minxingmoshi”dequexianyexianeryijian：minxingqumuqianshixingquanpinzhongkucunshangxiaxianguanli，gaikucunguanlimoshixuyaoduisuoyoudepinguijinxingjingquedejisuanhesheding，ruguoweichongfenkaolvpinzhongjianchayi（changyongpinzhonghelinshipinzhong）、linchuangxiguanbianhuadechayidenggezhongyingxiangyinsu，jiukenengchuxianduanhuo、gongyingshangtiantiansonghuodengxianxiang，daozhilinchuangshiyongbunengwanquanmanzu，shijiwuliuchengbenzengjiadengwenti。jizhelejiedao，yishangdezheixieqingkuangzaiminxingquyaopingongyingdeshijiyunxingzhongjingchangfasheng，bingyidingchengdushangyingxianglegongyingliandexiaolv。
juzhiqingrenshitoulu：“zuiweiguanjiandeyidianshimuqianminxingquweiwanquanshixiangongyinglianyitihua，zhenggegongyinglianzaiyiyuanneibubingweiwanquandatong，wufashixiancongchangshangdaoyaofang、zaidaohuanzhedequanchengguanli。”shishishang，minxingquyijingyishidaogaiwenti，xusujiubiaoshi：“zaitiaojianchengshushi，yiliaojigouzaibaoliuhexinyewudeqiantixia，jiangneibuyiyaowuliuziyuanquanbuboli、zhenghe，waibaojishangyouqiye。”zheiyiweizheminxingquweilaideyanshenmoshijiangcongyuanxiandekucunjiaoyougongyingshangguanlijinyibufazhandaoyuanneiwuliaogongyingdezhengtiwaibaofuwu，zaimanzulinchuangyishenggongyingshiyongdeqiantixia，tongguowuliu、xinxiliu、zijinliusanzhedeyangepipei，shixiangongyinglianquanchengkeshikekong。
shishishang，zaijinnianshangwubufabudeyaopinliutong“shierwu”guihuagangyaozhong，jiumingquetichu“tuidongyiyaowuliufuwuzhuanyehuafazhan，shishiyiyaowuliufuwuyanshenshifangongcheng”，yiyaowuliufuwuyanshenyugongliyiyuangaigejianggongtongtuijin。
danciqianshengchuande“‘minxingmoshi’youwangquanguotuiguang”xianranbushiyijianrongyideshiqing，“‘minxingmoshi’tixianlexinxihua、shuzihuatuijinyigaisuofahuideguanjianxingzuoyong。zheigemoshiduiyuyixiebijiaoxianjin、youyidingcailidediqufuzhidekenengxinggengda，erduiqianfadadiqueryan，rencai、zijinyanzhongbuzu，fuzhiyouxiangdangdenandu。”shanghaiyiyaozongcaixuguoxiongbiaoshi。
来源：医药经济报
