医用耗材零加成政策在医院的实践

Practice of Zero Plus Policy for Medical Consumables in Hospitals

目的:文章通过分析成都市某三甲综合性医院(P医院)执行医用耗材零加成政策的情况,及该政策对医院收入增减、结构变动及患者均次医疗费用的影响,对政策执行效果进行评价,为政府相关部门制定政策提供依据,为医院内部管理决策提供参考。结果:医用耗材零加成政策优化了医院收入结构,但患者住院医疗费用有所增加。结论:政府应加大投入,部门应加强监管,降低材料成本及医疗费用;医院应严格控制不合理费用,兼顾医院的发展和群众的医疗负担。

Purpose:by analyzing of the implementation of zero plus policy of medical consumables in a three-A-level general hospital(P hospital)in Chengdu,and its impact of the policy implementation on the increase or decrease of hospital income,structural changes and patients'average medical cost per time,this paper evaluates the effect of policy implementation,provides the basis for relevant government departments to formulate policies,and provides reference for hospital internal management decisions.Result:zero plus policy has optimized the income structure of the hospital,but it increases the cost of hospitalization.Conclusion:the government should increase investment and the corresponding departments should strengthen supervision,reduce material costs and medical expenses;the hospitals should strictly control unreasonable expenses and give consideration to the development of hospitals and the medical burden of the masses.