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公立医院在社会主义医疗事业的发展中占有十分重要的地位和作用,是提供医疗服务的基础性机构。近年来,受经济社会发展的影响,我国开始推行医疗体制改革。在新医改的背景下,公立医院应及时转变角色,调整管理运营机制,合理控制药品耗材费用,实现公立医院的协调可持续发展。控制医疗费用是这一轮公立医院改革的重点任务。本文分析了导致当前公立医院药品耗材费用居高不下的原因,提出政府层面建立监管体系,医院方面规范材料使用,严格控制进口高值耗材比例、开展阳光用药活动、加强内部审计监管等措施建议,有效保证医院持续健康发展。
Public hospitals occupy a very important position and role in the development of socialist medical undertakings and are the basic institutions for providing medical services. In recent years, under the influence of economic and social development, China has begun to carry out the medical system reform. In the context of new medical reform, public hospitals should change their roles in a timely manner, adjust management and operation mechanism, reasonably control the cost of medical supplies and achieve the coordinated and sustainable development of public hospitals. Control of medical costs is the key task of this round of public hospital reform. This paper analyzes the reasons that lead to the current high cost of medical supplies in public hospitals, puts forward some suggestions on establishing a regulatory system at the government level, regulating the use of materials in hospitals, strictly controlling the proportion of imported high value consumables, carrying out sunshine medical activities and strengthening internal audit supervision, Effective guarantee the hospital sustained and healthy development.