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公立医院属于公共物品。在政府财政投入不足,社会捐赠无法保证的情况下,自身业务收入成为我国公立医院的主要补偿渠道。目前我国公立医院补偿机制的突出问题是以药养医。本文提出的改革公立医院补偿机制的建议包括:增加政府的财政投入,改变医疗服务价格和药品价格的比价关系,发挥医疗保险的作用,重视社会捐赠。
Public hospitals are public goods. Under the condition of inadequate investment in government finance and social donation, its own business income has become the main compensation channel for public hospitals in our country. At present, the prominent problem of the compensation mechanism of public hospitals in our country is medicine. The suggestions for reforming the public hospital compensation mechanism proposed in this paper include: increasing the government’s financial investment, changing the price-parity relationship between medical service prices and drug prices, giving full play to the role of medical insurance and attaching importance to social donations.