从医疗机构成本出发探索医疗服务价格调整的新思路——以广东地区51家样本医院财务成本状况为例.pdfVIP

现代医院 2013 年 6 月第 13 卷第 6 期医院管理3庸 Modem Hospital Jun 2013 Vol13 No 6 从医疗机构成本出发探索医疗服务价格调整的新思路 一一以广东地区 51 家样本医院财务成本状况为例 徐力新梁允萍 THE NEW THOUGHT EXPLORING INTO THE ADJUSTMENT OF MEDICAL SERVICE PRICE IN VIEW OF MEDICAL ORGAN 厄ATIONS COST: TAKE THE FINANCIAL POSITION OF 51 SAMPLE HOSPITALS IN GUANGDONG REGION AS EXAMPLE XU Lixin , UANG Yunping [摘 要] 2012 年 8 月，卫生部发布的《关于做好 2012 年公立医院改革工作的通知》已明确指出， 2012 年所有公立医院改革国家联系试点城市均要探索采取调整医药价格、改革医保支付方式和落实政府办医责任 等综合措施和联动政策，破除以药补医机制。笔者以广东地区 51 家样本医院财务成本状况为例，从成本分析 出发，探索医疗服务价格调整的新思路。 [关键词] 公立医院 医疗服务价格成本分析 [ Abstract] The notice of reform of public hospital in 2012 which wωreleased by the Health Department in August 2012 has pointed clearly 由 at all the national contact pilot cities of reform of public hospitals shou1d explore the 叩由 esis measures and linkage policy of adjusting medicine prices , reforming the medicare payment and implementing govemment - run medical responsibility in order to eradicate the mechanism of making up loses by medicine. This re? port has taken the financial position of 51 sample hospitals for example; from cost analysis explore the new thoughts of medical service price a句 ustment. [Key words] Public hospital , Medical service price , Cost analysis [ Author s ad，由四s] Guangdong Provincial People s Hospital , Guangzhou City , Guangdong Province 51 ∞80 PRC doi: 10. 3969/j. issn. 1671 - 332X. 2013. 06. 045 缓解看病难、看病贵的现状，是医疗卫生改革的重 成本分为:药品耗材成本、人员成本、折旧费用、运营费 要任务。造成现阶段看病贵的原因很复杂，但最根源 用①四大类。 的，还是当前医疗服务价格的执行标准及价格形成机制 经数据分析，发现药品耗材成本、人员成本、折旧费 不科学、不完善、不合理所致 [1] ，换言之，当前医疗改革 用、运营费用占比的均值分别为