CAJ | 학술논문

目的:剖析“以药养医”的传统医药价格体系及其影响,探索变革“以药养医”体制的途径,为县医院改革提供借鉴.方法:综合运用了文献分析、政策分析、专家咨询和知情人士访谈等方法.结果:传统医药价格体系扭曲表现在医务人员劳动成本过低、药品和材料价格扭曲、大型医疗设备检查和固定资产折旧价格扭曲等方面,破除以药养医、调整医药服务价格体系是县公立医院改革的关键.结论:需取消政府价格管制、增药事服务费、改革医务人员薪酬体制、改革支付方式、变革药品管理方式和收支两条线等措施相互配合才能有效补偿县医院,在推进其发展进步的基础上解决看病贵问题.
목적:부석“이약양의”적전통의약개격체계급기영향,탐색변혁“이약양의”체제적도경,위현의원개혁제공차감.방법:종합운용료문헌분석、정책분석、전가자순화지정인사방담등방법.결과:전통의약개격체계뉴곡표현재의무인원노동성본과저、약품화재료개격뉴곡、대형의료설비검사화고정자산절구개격뉴곡등방면,파제이약양의、조정의약복무개격체계시현공립의원개혁적관건.결론:수취소정부개격관제、증약사복무비、개혁의무인원신수체제、개혁지부방식、변혁약품관리방식화수지량조선등조시상호배합재능유효보상현의원,재추진기발전진보적기출상해결간병귀문제.
Objective: To analyze the traditional drug price system of “Feed the hospital with drug charges” and its influence, explore the pathway to reform this system and provide reference for county hospital reform. Methods: Combining the methods, such as the literature analysis, policy analysis, expert consultation and interview with related people. Results: Traditional drug price system resulted into distorted performance, including the cost of medical staff labor is too low, the price of medicine and material, large medical equipment inspection, and unreasonable fixed assets depreciation price distortion. So reform drug price system is the key to the county public hospital reform. Conclusion: It is suggested to cancel the government price control, increase the drug service charges, reform the medical staff salary system and the payment style, change the way of drug management, implement the policy of “Two lines of income and expenditure” etc and cooperate with each other to be effective compensation county hospital, on the basis of this development progress, so as to solve the problem of “too expensive to see a doctor”.