政府办医院取消药品加成补偿机制研究.pdfVIP

政府办医院取消药品加成的补偿机制研究 万劫1，吴可1，史录文12 (1．北京大学药学院药事管理与临床药学系；2．北京大学医药管理国际研究中心北京100191) 摘要：目的完善政府办医院药品加成取消后的补偿机制；方法在分析我国补偿现状基础上， 采用实证分析法和文献调研法；结果与结论取消药品加成后，政府办医院在现有财政投入和医疗服 务价格下会亏损，需通过增设药事服务费、调整医疗服务价格、增加财政投入进行补偿，以保证政 府办医院正常运行。 关键词：补偿机制；政府办医院；药品加成 Oil MechanismofPublic whenGovernmentabolishes StudyCompensation Hospitals DrugMark—up Wan Jiel；WuKel；ShiLu—wenl，2 of AdministrationandClinical ofPharmaceutical (1．DepartmentPharmacy Pharmacy,School Sciences， ResearchCenterofMedicinal University；2．International Administration，PekingUniversity, Peking 100191，China) Beijing To for and mechanism Abstract：0biectiveprovidesuggestionsredesigningimprovingcompensation of when abolishesthe Basedon thestatus publichospitalsgovernment drugmark-up．Methodsanalyzing to of mechanismof researchwasreferred Empirical quo compensation publichospitals，the Analysis ConclusionWhen abolishthe methodandLiteratureResearchmethod．Resultsand government drug would into shouldbemade mark—up，the trappeddeficiency．Consequently，thedeficiency publichospitals service medicalservicefeeand upbysettinghospitalpharmacyfee，adjusting increasinggovernmental inordertomaintainthe inputs hospitalsrunning． mechanism；publichospital；abolishdrugmark·up Keywords：compensati