公立医院源头控制“药占比”的实践与体会

Practice and Experience for Controlling "Drug Proportion" in Public Hospital

随着政府对公立医院补偿减少,药品收入成为医院收入的重要组成部分,要从根本上控制药品收入占医院总收入的比例("药占比"),解决群众"看病贵"问题,必须加强对药品购销行为的全程监管,严把新药准入关、招标采购关、药品使用关。为了标本兼治加强源头治理,需要建立一套较为完整的长效机制,包括建立经常性教育机制,不断强化医务人员伦理意识;建立"廉洁自律承诺卡"制度,不断规范药品营销人员行为;建立健全制度体系,严格加强内部管理。

Along with the government compensation decreasing in public hospitals, drug income becomes an important part of hospital income. In order to fundamentally control the drug income proportion in total income of hospital （ ＂drug proportion＂ ）, solve the problem of ＂expensive medical service＂, we must strengthen the supervi- sion on drug purchase and distribution, strict in new drugs access, bidding and using. It is necessary to set up a set of relatively complete long term mechanism to strengthen the origin control, which includes： establishing regular education mechanism, constantly strengthening the medical staff＇s ethics consciousness, setting up the ＂promise to honesty and self-discipline＂ system and constantly regulate pharmaceutical marketing personnel behavior, estab lishing and perfecting the system, and strictly strengthening internal management.