公立医院破除“以药补医”机制面临的问题及对策探讨
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南京医科大学医政学院

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国家自然科学基金(71473129);江苏省教育厅社会科学研究项目(2015SJB160)


Discussion on problems and countermeasures of breaking ‘drug-maintaining-medicine’ in public hospitals
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Nanjing Medical University

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    摘要:

    破除以药补医机制是我国公立医院综合改革的关键环节,文章总结了公立医院改革试点地区在破除以药补医,改革补偿机制方面的探索情况和成效,另外指出改革中存在的一些问题,财政对医院的补偿有限,医疗服务价格调整不到位,医药利益链条并未斩断。在此基础上提出完善医疗服务价格形成机制,落实政府办医责任发挥监管作用,改革医保支付标准,加强对药品流通、销售环节的管理和监督等建议。

    Abstract:

    Breaking the mechanism of drug-maintaining-medicine was the key link of the comprehensive reform in public hospitals. The article summarized the reform and effects of breaking drug-maintaining-medicine and converting compensation mechanism for public hospitals. In addition, such hospitals are provided with the limited financial compensation, and the paper also pointed out that medical service price adjustment was not enough, the chain of interests between drugs and hospitals was not cut off. Based on such findings, the paper advised to improve the formation mechanism of medical service price, clear the responsibility of government, reform standards of medicare payment and strengthen the management and supervision of drug distribution and sales.

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  • 收稿日期:2017-01-03
  • 最后修改日期:2017-04-06
  • 录用日期:2017-09-04
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