摘要
目的:探索实施"医药分开",取消"以药补医"的方案,缓解群众"看病难"、"看病贵"问题。方法:对浦东新区19所二、三级公立医疗机构药品加成收入等进行分析测算,设计取消"以药补医"的实施方案,并测算各机构的政策性亏损情况及各保障制度的补偿情况等。结果和结论:各医院总体收入略有减少,原药占比高的医院略有亏损,原药占比低的医院略有盈余;中医医院和专科医院亏损较为明显。建议:财政补贴设立"过渡期",引导医疗机构转变机制;加强对医院运行情况的监管和考核,建立基于第三方的绩效考核和评价。
Objective： To probe into the scientific methods to relieve the difficulties and high eost of medical care for the general public, by means of separating clinic from pharmacy. Methods： Based on the analysis of drug mark-up income of 19 secondary and teriiary hospitals in Pudong district of Shanghai, a program of cancel the mechanism of drug depended doctors was designed, as well as estimated the hospitals＇ policy-related losses and the compensation of various security systems. Results and conclusion： The hospitals＇ overall revenue decreased slightly. There is a slight loss of hospitals whose original drug proportion in the total income is higher, and a little surplus whose original drug proportion is lower. The loss of Chinese medicine hospitals and specialist hospitals are more obvious. Suggestions： Transitional period should be set up along with financial subsidies to guide hospitals to transfer their operating mechanism. The supervision and evaluation mechanism of hospitals should be strengthened, and the performance evaluation mechanism base on the third party should be established.
出处
《中国卫生经济》
北大核心
2013年第6期18-20,共3页
Chinese Health Economics
基金
中国卫生经济学会第十三批招标课题
上海市浦东新区卫生局卫生科技项目(PW2011A-44)
关键词
以药补医
药品加成收入
公立医院
补偿机制
drug depended doctor
drug mark-up income
public hospital
compensation mechanism
