摘要
总结了公立医院改革试点地区在补偿机制方面的探索情况，发现通过财政保障公立医院基本建设和发展支出，取消药品加成、提高服务价格，改革医保支付方式等举措，公立医院经济运行机制、补偿的激励导向初步转变，医疗收入结构也发生变化，试点医院次均费用下降，医务人员收入得到提高。同时指出改革中也存在一些问题，药品价格和费用虚高仍存在，科学的医疗服务价格形成机制尚未形成，财政投入“政策性亏损”界定不清晰，财政和医保投入方式未根本转变。在此基础上建议分阶段调整医疗服务价格，加强医保精细化管理，增强补偿机制的系统性。
The paper summarized the explorations of public hospital pilots in the compensation mechanism and identified the following findings.For example,by means of fiscal support of public hospital infrastructure and development spending,cancellation of drug markup,higher service prices, and reformed payment mode of medical insurance,these hospitals have made initial changes at their business operating mechanism, motivation-guidance of compensation, and their makeup of medical revenue.In addition,such hospitals are found with lower cost of medical care per visit,and higher income of medical workers.The authors also pointed out such problems as inflated drug pricing and expenses,lack of scientific pricing mechanism for medical services,vague definition of policy-related losses,and old-fashioned practice of government investment and health insurance payment.Based on such findings,the paper advised to adjust health care prices by stages and to improve the management of health insurance and the coherence of compensation mechanism.
出处
《中华医院管理杂志》
北大核心
2015年第3期164-166,共3页
Chinese Journal of Hospital Administration
基金
上海交通大学中国医院发展研究院委托课题（SJYF2014XD001B）
关键词
公立医院
补偿机制
价格调整
试点
Public hospital
Compensation mechanism
Price adjusting
Pilot
