摘要
2010年和2014年,我国先后批复了共34个公立医院改革国家联系试点城市,目前全国已经全面开展医疗综合改革。其中,取消药品加成政策和医疗服务价格调整一直都是公立医院改革的关键内容,也是本轮医疗综合改革的难点。本文首先从政策角度分析药品加成政策的历史演变和历史贡献,据此提出本轮医疗综合改革的政策逻辑和依据,借鉴国外发达国家在公立医院补偿机制方面的经验,提出了我国公立医院补偿机制的主要思路,并以2010-2017年山西省县级公立医院补偿机制的实证研究为例,提出调整医疗服务价格的解决策略。
In 2010 and 2014, China approved a total of 34 national pilot cities for public hospital reform, and has carried out comprehensive medical reform. The cancellation of medicine markups policy and the adjustment of medical service price have always been the key contents of the reform of public hospitals,and also the difficulty of this round of comprehensive medical reform. First,This article analysis historical evolution and historical contribution of Chinese medicine markups policy,and the policy logic of the comprehensive medical reform. Secondly, based on the international experience of foreign developed countries public hospital compensation mechanism,put forward the main ideas of Chinese public hospital compensation mechanism. Finally,based on empirical study of Shanxi Province public hospital compensation mechanism from 2010 to 2017,this paper present the solving strategy to adjust the price of medical service.
作者
马景贤
Ma Jing-xian(Shanxi Coal Center Hospital,Taiyuan Shanxi 030006,China)
出处
《技术经济与管理研究》
北大核心
2020年第3期114-118,共5页
Journal of Technical Economics & Management
关键词
药品加成
公立医院
补偿机制
医疗改革
medicine markups policy
public hospitals
compensation mechanism
comprehensive medical reform
