我国公立医院补偿机制改革现状分析

Discussion on the Current Compensation Mechanism of Public Hospitals in China

随着我国医改工作的持续推进,县级公立医院和医改试点城市公立医院的补偿由服务收费、药品加成收入与政府补助三个渠道全面调整为服务收费和政府补助两个渠道,补偿机制改革取得的成效和存在的问题也逐渐显露。在政府责任意识明显增强、药占比有所下降以及医疗收入结构有所变化的同时,政府补偿缺乏科学界定、价格体系不完善、医院参与补偿机制改革的动力不足以及三医联动的协同性欠佳等问题依旧显著。

Accompany with continuous propulsion of medical and health system reform in China, the compensation of public hospitals in county and pilot reform cities were adjusted to modes of medical service charge and government subsidies from three modes, including medical service charge, drug additional revenue and government subsidies. The achievement and existing problems of compensation mechanism reform gradually revealed. The government＇ s sense of responsibility had been enhanced obviously, the proportion of drug income obviously decreased, medical income component had changed slightly. Meanwhile, it was still notable that, lack of scientific definition of government compensation, medical price system was not perfect, the motivation of hospital to participate the compensation mechanism reform is underpowered, the coordination of linkage among the medical, medicine and medical insurance was poor.