建立医疗机构临方炮制定价机制面临的问题及应对策略

The Problems and Countermeasures of Establishing the Pricing Mechanism for Medical Institutions

药品作为特殊商品具有特殊的定价机制,中药、尤其是临方炮制的中药饮片由于其特殊性,相应的定价机制仍然缺失,严重影响了中医药的疗效和中药饮片的发展。本文根据笔者的研究及在L市四家医院的实地调研,从定价方式、定价依据、成本补偿、成本核算以及价格透明五个方面探讨临方炮制定价机制面临的问题,提出将建立完善的临方炮制定价机制纳入医疗改革中,并就上述问题提供了可行的应对策略和建议。

As a special commodity, drugs have a special pricing mechanism. Due to the particularity of traditional Chinese medicine (TCM), especially the preparation of TCM decoction pieces, the corresponding pricing mechanism has yet to be established, which seriously affects the efficacy of TCM and the development of TCM decoction pieces. In this paper, based on the their research and on-the-spot investigations at four hospitals in L city, the authors explored the problems arising from the pricing mechanism in such aspects as the pricing policies and practices,processing cost compensation, cost calculation and price transparency, proposed to establish the pricing mechanism and integrate it into the healthcare reform, and provided the feasible countermeasures and suggestions.