文章摘要
李静娴,姜荣勤,葛爱晨,胡 丹,陈家应.公立医院破除“以药补医”机制的探讨[J].南京医科大学学报(社会科学版),2017,(3):177~181
公立医院破除“以药补医”机制的探讨
Discussion on problems and countermeasures of breaking “drug-maintaining-medicine” in public hospitals
投稿时间:2017-01-03  
DOI:10.7655/NYDXBSS20170302
中文关键词: 公立医院  以药补医  补偿机制  医疗服务价格
英文关键词: public hospital  drug-maintaining-medicine  compensation mechanism  medical service price
基金项目:国家自然科学基金项目“基于患者体验的公立医院改革绩效研究”(71473129);江苏省高校哲学社会科学研究一般项目“基于患者体验的公立医院绩效评估指标体系研究”(2015SJB160)
作者单位
李静娴 南京医科大学医政学院江苏 南京 211166 
姜荣勤 南京医科大学医政学院江苏 南京 211166 
葛爱晨 南京医科大学医政学院江苏 南京 211166 
胡 丹 南京医科大学医政学院江苏 南京 211166 
陈家应 南京医科大学医政学院江苏 南京 211166 
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中文摘要:
      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,指出改革中存在的一些问题,如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,改革医保支付方式,加强对药品流通、销售环节的管理和监督等建议。
英文摘要:
      Breaking the mechanism of drug-maintaining-medicine is the key point of comprehensive reform in public hospitals. This study summarizes the situation and effects of breaking of drug-maintaining-medicine and compensation mechanism reform for public hospitals. We point out some problems existing in the reform,including the financial compensation for the hospital is limited,medical service price adjustment is not enough,the chain of interests between drugs and hospitals has not been cut off. Based on such findings,the paper suggests that the formation mechanism of medical service price should be improved,the supervising and managing responsibility of government should be cleared,the standards of medicare payment should be reformed,and management and supervision of drug distribution and sales should be strengthened.
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