医药费用逐年增加的因素分析与对策建议

Reasons Analysis for Constant Increase of Medical Costs Year by Year and Countermeasures Suggestion

目的:为促使逐年增加的医药费用合理回归提供参考。方法:通过分析医院经营方向变化,新药审批与药品生产、流通、招标以及医院药师队伍建设和媒体广告的现状等,探讨引起医药费用逐年增加的因素,并提出相应对策。结果与结论:医院床位不断扩张、设备不断添置、医院耗材不合理应用、新药(械)审批不够规范、药品招标"异化"造成药价虚高、药品流通经营不规范、重医轻药造成药师队伍人才不足以及媒体广告误导等多种因素造成医药费用逐年增加。建议政府要明确医疗机构的性质、定位与宗旨,加强药品及医用耗材生产、流通、招标过程的管理,加强药师队伍建设,加强对媒体广告的监管等,逐步让医药费用合理回归。

OBJECTIVE： To provide reference for constant increase of medical costs year by year returning to normal. METHODS： By analyzing the changes of hospital management direction, the approval of new drugs, pharmaceutical production, circulation and tender, the construction of hospital pharmacists team and the status quo of adverse media advertising, the factors that caused medical costs increasing year by year were discussed, and the corresponding countermeasures were put forward. RESULTS ＆ CONCLUSIONS ： Constant increase of medical cost year by year are caused by ever-expanding hospital beds, constant additions of equipment, irrational application of hospital supplies, not standardized approval of new drug （instruments）, false high price of drug caused by drug tender ＂alienation＂, non-standard pharmaceutical distribution and operations, shortage of pharmacists talent caused by ＂focusing on medicine and ignoring pharmacy＂, misleading of media advertising and other factors. It is suggested that the government should clear the nature, location and purpose of medical institutions, strengthen the production, distribution and bidding of medicines and medical supplies, strengthen the pharmacist team building and enhance the supervision of media advertising to promote reasonable return of the medical costs gradually.