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2006年,国家改革了医疗机构药品加成政策,规定医疗机构按实际购进价顺加15%作为零售价。文章通过对山东省13所医院2005—2007年的经济运行状况进行分析,发现现行的药品加成政策下,医院的经营行为在一定程度上发生了改变,即医院采购药品时对价格的敏感程度降低;在药品使用中存在以价格高的品种替代价格低的行为;医院倾向于通过选择边际贡献率高的医疗服务和增加药品使用的数量来获取收益;通过负债经营,不断地扩大规模来改善经济困境。医院经营行为的变化在一定程度上造成卫生资源的使用效率下降,社会福利造成损失。
In 2006, the state reformed the policy of drug addition in medical institutions, stipulating that the medical institutions should order 15% of the actual purchase price as the retail price. Through the analysis of the economic operation status of 13 hospitals in Shandong Province from 2005 to 2007, the article finds that under the current policy of drug addition, the operating behavior of hospitals has changed to some extent, that is, the sensitivity of the hospital to the price when purchasing medicines Reduce the price; in the use of medicines, there is the behavior of replacing the low price with the high price; the hospital tends to gain by choosing the medical services with high marginal contribution rate and increasing the quantity of drug use; improving the scale of the debt management by continuously expanding the scale Economic difficulties. Changes in the operating behavior of the hospital to a certain extent, resulting in reduced efficiency in the use of health resources, social welfare losses.