药品零差率背景下肿瘤专科医院应对措施探讨

Countermeasures on drug zero mark up of cancer hospital

肿瘤专科医院由于其专科特色,药品使用占比高,受药品零差率政策影响较大。浙江省某省级肿瘤专科医院通过改革医院内部运行机制、完善绩效考核体系、推进精细化管理等措施,实现了经济平衡运行,收入结构得到优化,补偿率逐步提高。提出在深化医改的过程中,要不断探索完善药品、材料定价与采购机制,切实降低患者医疗费用;在医疗服务价格定价过程中,充分体现广大医务工作者的实际价值,充分考虑不同公立医院各自的特色与现状,建立医疗服务价格动态调整机制。

Due to the characters of discipline, the drug cost ratio in cancer hospital is relatively high and heavily influenced by drug zero mark up policy. By improving hospital operation mechanism, completing performance system and promoting refined management, Zhejiang cancer hospital has got balanced revenue and cost, increasing improved revenue structure and compensation rate. It is considered to promote drug and material purchasing mechanism, reduce patient cost and set up dynamic adjust mechanism of medical care price under the environment of drug zero mark up policy.