建立符合中医药服务运行特点的中医医院补偿机制

发布时间：2018-04-13 18:05

本文选题：中医医院 + 补偿机制　；参考：《中国卫生政策研究》2016年04期

【摘要】：本文分析了中医医院经济运行特点,与综合医院相比,中医医院诊疗服务依赖于医务人员的知识和经验,对检查、化验设备利用较少;药品服务成本高、损耗大,收入结构中药占比高;医疗服务价格偏低,治疗同一种疾病与西医治疗手法相比次均费用低。根据这些特点,部分省市探索采用基于编制人数、服务量或绩效考核结果等增加中医医院财政投入,调整医疗服务价格,扩大中医药服务报销范围和比例等方式完善中医医院补偿机制。通过比较这些改革措施的优劣及其带来的效果,提出了通过价格调整增强中医医院自偿能力;提高医保总额预付总额和支付比例,加快按病种付费进程;提高中医的财政投入比例等政策建议。
[Abstract]:This paper analyzes the characteristics of the economic operation of TCM hospitals. Compared with general hospitals, the diagnosis and treatment services of TCM hospitals depend on the knowledge and experience of medical personnel, make less use of examination and laboratory equipment, and have a high cost of drug service and a great loss.The income structure of traditional Chinese medicine is high, the price of medical service is low, and the average cost of treating the same disease is lower than that of western medicine.According to these characteristics, some provinces and cities explore to increase the financial input of TCM hospitals and adjust the price of medical services based on the establishment of the number of people, the quantity of service or the results of performance appraisal.Expand the scope and proportion of reimbursement of TCM services and improve the compensation mechanism of TCM hospitals.By comparing the advantages and disadvantages of these reform measures and their effects, it is proposed that the self-compensation ability of TCM hospitals should be enhanced through price adjustment, the total prepaid amount and payment ratio of medical insurance should be increased, and the process of paying according to disease should be accelerated.To raise the proportion of financial input of traditional Chinese medicine and other policy recommendations.
【作者单位】：上海市医学科学技术情报研究所上海市卫生发展研究中心;复旦大学公共卫生学院;上海市人口与发展研究中心;
【基金】：上海市中医药科研基金资助项目(2014010G)
【分类号】：R197.4

【相似文献】