CAJ | 학술논문

浙江省公立医院综合改革以来，通过调整医疗服务价格，完善医疗服务收费结构，同步完善医保政策，采取先放后限价格调整策略等措施，一定程度上体现了医务人员劳务价值，保持了公立医疗机构的平稳运行，引导了医疗资源的优化配置。本文通过分析浙江省医疗服务价格调整的各项举措，评判成效与不足，建议从推进医疗、医保、医药三医联动，探索药械采购新机制，建立医疗服务价格动态调整机制，探索医疗服务价格管理新机制，加强医疗服务监管等方面进一步深化公立医院综合改革。
절강성공립의원종합개혁이래，통과조정의료복무개격，완선의료복무수비결구，동보완선의보정책，채취선방후한개격조정책략등조시，일정정도상체현료의무인원노무개치，보지료공립의료궤구적평은운행，인도료의료자원적우화배치。본문통과분석절강성의료복무개격조정적각항거조，평판성효여불족，건의종추진의료、의보、의약삼의련동，탐색약계채구신궤제，건립의료복무개격동태조정궤제，탐색의료복무개격관리신궤제，가강의료복무감관등방면진일보심화공립의원종합개혁。
Since the launch of the comprehensive public hospital reform in Zhejiang Province, the price of medical services has been adjusted, and the charging structure of medical services has been improved. Likewise, medical insurance policies have been optimized. Through several price adjustment strategies, such as the“loosen-re-strain” policy, the labor of medical personnel has been better valued, the operation of public medical institutions has been stabilized, and the allocation of medical resources has been optimized. Hence, this paper aims to measure the achievements and drawbacks of the medical service price adjustments by analyzing the various strategy. It is suggested that the comprehensive public hospital reform should be further intensified via the advancement of coordination of healthcare, medical insurance and medicine, the exploration of new procurement mechanisms for drugs and medical equipment, the establishment of dynamic adjustment mechanisms for medical service pricing, the exploration of new management mechanisms for medical services, and the strengthening of medical service supervision.