公立医院降低药品加成、转换补偿机制短期效果评价

Short-term effectiveness evaluation on reducing drug make-up rate and transforming compensation mechanism in public hospitals

以上海市浦东新区作为典型案例,对公立医院降低药品加成、转换补偿机制改革新政的短期效果进行实时评价。发现政府宏观的政策干预起到了一定积极作用,公立医院总体运行平稳,部分专科医疗机构出现严重政策性亏损,患者次均医疗费用药占比下降,但总费用增加。建议政府设立"过渡期",补偿专科医疗机构政策性亏损,进一步理顺医疗服务价格体系,加强公立医院监管考核等。

To evaluate the short-term effectiveness on reducing drug make-up rate and transforming compensation mechanism in public hospitals in Pudong New Area of Shanghai. It was found that macro policy intervention by the government played a positive role, public hospitals were operating smoothly, however, some specialized public hospitals appeared serious policy-related losses. The patients＇ drug proportion per visit came down, but the total medical expenses increased. It is imperative to set up transitional financial subsidy mechanism to remedy policy-related losses of public hospitals, further rationalize the medical service price system, and reinforce supervision and evaluation mechanism of public hospitals.