Exploration and enlightenment of the compensation mechanism reform featuring drug sale with zero makeup
10.3760/cma.j.issn.1000-6672.2015.03.002
- VernacularTitle:实行药品零差率后公立医院补偿机制改革的探索及启示
- Author:
Fen LI
;
Ying PENG
;
Chunlin JIN
;
Yunfeng DU
- Publication Type:Journal Article
- Keywords:
Public hospital;
Compensation mechanism;
Price adjusting;
Pilot
- From:
Chinese Journal of Hospital Administration
2015;(3):164-166
- CountryChina
- Language:Chinese
-
Abstract:
The paper summarized the explorations of public hospital pilots in the compensation mechanism and identified the following findings.For example,by means of fiscal support of public hospital infrastructure and development spending,cancellation of drug markup,higher service prices, and reformed payment mode of medical insurance,these hospitals have made initial changes at their business operating mechanism, motivation-guidance of compensation, and their makeup of medical revenue.In addition,such hospitals are found with lower cost of medical care per visit,and higher income of medical workers.The authors also pointed out such problems as inflated drug pricing and expenses,lack of scientific pricing mechanism for medical services,vague definition of policy-related losses,and old-fashioned practice of government investment and health insurance payment.Based on such findings,the paper advised to adjust health care prices by stages and to improve the management of health insurance and the coherence of compensation mechanism.