完善公立医院经济运行的对策思考
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The countermeasures to perfect economic operational mechanism of public hospital
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    摘要:

    公立医院经济运行存在如下问题:收支结构不合理,现行药品加成政策并没有节约药品支出,医疗收入增长依赖医疗服务价格政策;政府财政补偿缺位,医务人员劳动价值不能充分体现;医院发展迅速但呈粗放型增长,医疗费用增长迅速;不完善的医疗保险制度制约了医院经济运行? 完善公立医院经济运行机制的主要对策有:发挥政府主导作用,提高财政补偿和医疗服务补偿比重,完善医疗服务价格政策,引导医院收支趋于合理;完善医保部门与医院的协调机制;改革人事分配制度;加强成本核算,控制医疗费用增长速度;加强品牌建设,提升核心竞争力?

    Abstract:

    The problems in economic operational situation of public hospital are as follows: the structure of income and cost is unreasonable; drug mark-up policy doesn’t decrease drug cost and the growth of medical revenue depends on pricing policies of medical services; the government financial compensation is absent and the working-value compensation to medical personnel is inadequate;hospital developes rapidly in extensive manner and medical expenditure grows rapidly; imperfect medical insurance system constraints the economic operation of hospital. The countermeasures to perfect the economic operational mechanism of public hospital are as follows: the government should pay an important role in raising the proportion of finance compensation and medical compensation, improve pricing police of medical service and guide the medical payments;perfect the coordinating mechanism between medical insurance sector and hospital;reform personnel distribution system;strengthen cost accounting;control the growth rate of health-care expense;strengthen brand building;enhance the core competitiveness.

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贲 慧,唐晓东,刘向群,宋 元,殷 红.完善公立医院经济运行的对策思考[J].南京医科大学学报(社会科学版),2011,(4):295~297

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  • 收稿日期:2011-06-16
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