CAJ | 학술논문

取消药品加成及如何建立科学补偿机制已成为公立医院必须面对的问题。军队医院如何建立科学补偿机制，和地方公立医院相比，既有共性，又有不同。本文通过对两所军队医院进行调研访谈，并结合相关文献政策，从医院收入、医院发展、为军服务水平、人才培养入手，分析军队医院面临的问题；并从符合军队特点的补偿支付角度入手，针对军队及地方财政补偿、提高医疗服务价格和强化医保补偿体系三个方面深入探讨，为建立符合军队医院特点的科学补偿机制提供参考。
취소약품가성급여하건립과학보상궤제이성위공립의원필수면대적문제。군대의원여하건립과학보상궤제，화지방공립의원상비，기유공성，우유불동。본문통과대량소군대의원진행조연방담，병결합상관문헌정책，종의원수입、의원발전、위군복무수평、인재배양입수，분석군대의원면림적문제；병종부합군대특점적보상지부각도입수，침대군대급지방재정보상、제고의료복무개격화강화의보보상체계삼개방면심입탐토，위건립부합군대의원특점적과학보상궤제제공삼고。
Canceling drug addition and how to establish scientific compensation mechanism have become an inevitable trend in public hospitals.Military hospitals are facing the same problems, but quite different from lo-cal public hospitals.Based on the interview of two military general hospitals and combined with the literature re-views, this paper analyzed the dilemma of military hospitals from four aspects: The income of hospitals, develop-ment of hospitals, service quality for the army and personnel training.The article also explored the corresponding measures from three aspects: The army and local financial compensation, The price of medical services and Strengthen of the health care system, to provide suggestion on how to set up scientific compensation mechanisms in military hospitals.