新医改背景下加强公立医院医药费用控制体系建设的思路探讨

Analysis on enhancing the medical expenditure control system construction in public hospitals under the background of new health system reform

控制医药费用的不合理上涨,缓和"看病贵、看病难"的社会矛盾,一直是卫生政策的重要着眼点。医疗费用快速增长的不合理因素主要是由于医疗卫生机制不完善造成的,如医疗服务补偿机制、医院运行机制、医疗保险付费机制和医疗卫生筹资机制等。因此,体系的建立将对医药费用的控制起到积极作用,控制医疗费用快速增长既要建立新型卫生服务体系,加强政府宏观管理,理顺补偿机制,也要改革医院运行机制。

One of the key health policy issue is how to control unreasonable increasing of medical expenditure. The main unreasonable factor of the rapid increasing medical expenditure is that the mechanisms of health services are not perfect. For example, the compensation mechanism of health services, the operational mechanism of hospital, the payment mechanism of medicare and health financing mechanism. Based on the above, the article puts forward some suggestions such as setting up the index system of supervising and evaluating medicine expenditure which will have an important and active effect on controlling medicine expenditure, developing community health services, establishing a new health care system, the government＇ s macro management, adjusting compensation mechanism, and of deepening reform the operational mechanism of hospital.