浅谈实施药品“零差率”后如何保障医患双方的利益

Discussion of How to Guarantee the Interests of Both Doctor and Patient after Implementation of Drug “Zero Profit”

目的:推进药品"零差率"的实施,保障医患双方的利益。方法:通过介绍医院药品运行管理的相关情况以及药品"零差率"补偿机制,针对实施药品"零差率"后财政负担加重、医院收入短缺、患者就医可及性等问题提出意见与建议。结果与结论:实施药品"零差率"对公立医院改革将起到积极的推动作用,要使医患双方都能获益,严格落实补偿机制和增加政府投入是非常重要的,同时还需采取其他相应措施,包括调整医疗服务价格,体现医务人员的技术价值、知识价值与风险价值;推进总额预付、按项目、按病种、按人头等付费方式,控制医药费用不合理增长;完善医院运营服务机制,自觉减少对药品利润的依赖等。

OBJECTIVE：To promote the implementation of drug＂zero profit＂,and ensure the interests of both doctor and patient.METHODS：Through introducing the related information of drug management and compensation mechanism of drug＂zero profit＂,the advices were put forward for the heavy financial burden,shortage of hospital income and medical accessibility,etc.RESULTS CONCLUSIONS：Drug＂zero profit＂could promote the reform of public hospital.If both doctor and patient could obtain benefits,it is very important to strictly enforce compensation mechanism and increase the government investment.Meanwhile,medical service price should be appropriately adjusted to reflect technical value,knowledge value and risk value of medical staff;preparyment of the total amount should be propeled by project,disease,head and other payment methods to control unreasonable medical expenses growth;mechanical of the hospital operating service should be improved to consciously reduce the dependence on drug profits.