中华医院管理杂志
中華醫院管理雜誌
중화의원관리잡지
CHINESE JOURNAL OF HOSPITAL ADMINISTRATION
2012年
10期
728-731
,共4页
江捍平%罗乐宣%李创%严吉祥%董国营
江捍平%囉樂宣%李創%嚴吉祥%董國營
강한평%라악선%리창%엄길상%동국영
医药分开%改革%成效%政策建议
醫藥分開%改革%成效%政策建議
의약분개%개혁%성효%정책건의
Separation of drug prescribing and dispensing%Reform%Outcome%Policy recommendation
深圳市推进医药分开改革,在公立医院全面取消药品加成费用,切断了医院与药品生产供应链条之间的利益纽带,遏制了医院过度用药、用高价药的行为.改革后,医院次均诊疗费用、社会医疗保险参保人的自付费用、门诊输液、抗生素使用率等均呈下降趋势.为进一步巩固改革成果,深圳市将完善公立医院补偿机制,着重保护好医务人员的积极性,积极推进配套改革措施,保障医药分开改革持续、有效的进行.
深圳市推進醫藥分開改革,在公立醫院全麵取消藥品加成費用,切斷瞭醫院與藥品生產供應鏈條之間的利益紐帶,遏製瞭醫院過度用藥、用高價藥的行為.改革後,醫院次均診療費用、社會醫療保險參保人的自付費用、門診輸液、抗生素使用率等均呈下降趨勢.為進一步鞏固改革成果,深圳市將完善公立醫院補償機製,著重保護好醫務人員的積極性,積極推進配套改革措施,保障醫藥分開改革持續、有效的進行.
심수시추진의약분개개혁,재공립의원전면취소약품가성비용,절단료의원여약품생산공응련조지간적이익뉴대,알제료의원과도용약、용고개약적행위.개혁후,의원차균진료비용、사회의료보험삼보인적자부비용、문진수액、항생소사용솔등균정하강추세.위진일보공고개혁성과,심수시장완선공립의원보상궤제,착중보호호의무인원적적겁성,적겁추진배투개혁조시,보장의약분개개혁지속、유효적진행.
Shenzhen implemented the health reform on the separation of drug prescribing and dispensing.This policy abolished the drug price addition system,which interrupted the interest chain between hospitals and pharmaceutical enterprises,and curbed the over-medication and use of expensive drugs.Such a reform has lowered the average cost of diagnose and treatment,the out-of-pocket payment by those covered by social insurance,outpatient infusion and the utilization of antibiotics.To further strengthen these outcomes and maintain the momentum of this policy,Shenzhen will further improve the compensation system for public hospitals,encourage the medical staffs' work enthusiasm and implement the reform measures actively.