论“以药养医”的内部机理及解决途径

Discussing the internal mechanism and its solution of the drug-maintaining-medicine

本文分析了“以药养医”的深层机理,认为医院内部的行政主导和分配制度从根本上造成了药价虚高,患者负担加重。要实现“以医养医”,除了政府要增加医疗卫生投入外,在医院内部要实现医护人员主导,并适当提高医疗服务收费。在此基础上,本文还探讨了实现这种格局转变的演化路径,并由此给出了相应的政策建议。

Analyzing the internal mechanism of the drug - maintaining - medicine, the authors considered that the administration - dominating and the distribution system in the hospital resulted in expensive drug price and heavy burden on the patient. To achieve medicine - maintaining - medicine, the government should increase investment in health care and the medical staff should be dominant in the hospital, besides raising the charge for medical services. The authors also discussed the conversion and advanced correlative polices suggestion.