论文部分内容阅读
日前,国务院医改办专职副主任梁万年在接受中央媒体集中采访时说,对311个县级公立医院改革国家试点县的初步综合评估结果显示,试点县基本取消了15%的药品加成。此外,陕西、安徽、浙江、青海在全省推开该举措。据梁万年介绍,2013年8月6日至9月13日,国务院医改办会同有关部门、组织有关专家,对国家选取的18个省(区、市)的311个试点县进行了综合评估。三种补偿模式保障药品零加成初步评估结果显示,在取消15%的药品加成后,各地对县级医院减少的收入采取3种补偿模式:通过增加财政投入予以补偿,如陕西省、青海省;通过调整医疗服务价格予以补偿,如浙江省调整诊疗费用,限定调价总量不超过药品差价的90%,医院自行消化减少收入的10%,政府财政承担兜底责任;多数省份采取的则是调整医疗服务价格和增加财政投入“双管齐下”的补偿方式,如安徽省规定政府
Recently, Liang Wannian, a full-time deputy director of the State Council’s Medical Reform Office, said in a focused interview with the central media that a preliminary comprehensive assessment of 311 county-level public hospital reform pilot counties in China showed that pilot counties basically canceled 15% of drug additions. In addition, Shaanxi, Anhui, Zhejiang, Qinghai in the province to open the move. According to Liang Wannian introduction, from August 6, 2013 to September 13, 2013, the State Medical Reform Office, together with relevant departments, organized relevant experts to conduct a comprehensive assessment of 311 pilot counties in 18 provinces (autonomous regions and municipalities) selected by the state. Three kinds of compensation mode to protect the zero addition of drugs Preliminary assessment results show that after the elimination of 15% of drug additions, all over the county hospitals to reduce the income of three kinds of compensation modes: by increasing financial investment to be compensated, such as Shaanxi Province, Qinghai Province; compensation by adjusting the price of medical services, such as Zhejiang Province to adjust the treatment costs, the total amount of price adjustment does not exceed 90% of the drug spreads, the hospital digestion to reduce revenue by 10%, the government finances responsible; most provinces adopted is Adjust medical service prices and increase financial input “Two-pronged approach ” compensation methods, such as the provisions of Anhui Province Government