药品零差价下浙江省公立精神病医院补偿机制研究

Study on Compensation Mechanism of Public Psychiatric Hospitals in Zhejiang Province under Drugs' Zero-profit Policy

浙江省医院药品销售取消差价以后,主要是采取"一减二调一补"(即:减少药品费用,调整医疗服务收费,调整相关医保政策,适当增加政府投入)的手段弥补医院的正常运行。但由于政府财政投入不足,导致改革以后医院出现门诊均费下降,住院均费上涨等新问题产生。本文重点探讨了公立精神病医院如何建立合理的成本补偿机制,以期为实行药品零差价销售后公立精神病医院的改革提供理论指导和科学依据。

After the implementation of drugs＇ zero-profit policy in hospitals of Zhejiang province, ＂One minus, two adjustments, and one compensation＂（i.e., reduce drug costs, adjust medical service charges, adjust the relevant health policy, increase government investment appropriately） was adopted to make compensation for the normal operation of the hospital. However, due to the insufficient government investment, new problems including decline of average outpatient expenditure and increase of average inpatient expenditure occurred after the reform. This article discussed how to establish a reasonable cost compensation mechanism in public psychiatric hospitals so as to provide guidance and evidences to the reform of public psychiatric hospitals after the implementation of drugs＇ zero-profit policy.