财政视角下我国医药分开改革政策的研究
发布时间：2019-01-27 16:08
【摘要】：近年来,我国以药养医的医疗体制造成医药价格不合理、过度医疗以及医药界的腐败等诸多问题,使得“看病难,看病贵”的矛盾凸显,医患关系紧张。为解决以药养医的弊端,自1998年来我国开始着手研究医药分开的相关政策,并在各地推广医药分开改革的试点,先后尝试了收支两条线模式、药房分离模式、以及取消药品加成的模式,试图切断医药间的利益关系,消除医疗机构对于药品的依赖。本文通过对医药分开各阶段政策的梳理以及对现行医药分开三种模式的分析,借鉴国外医药分开的经验及教训,探讨医药分开的必要性、理想化医药分开的途径,以及如何通过财政政策引导医药分开改革。 论文首先对医药分开的概念、研究背景、研究意义以及医药分开必要性进行分析。对以药养医的形成、发展以及医药分开的政策进行梳理,分析了我国从以药养医到医药分开的政策变化以及以药养医的弊端。 其次,论文对我国现行的三种医药分开方案及其实施效果进行了分析和研究,发现虽然我国现行的医药分开改革对于切断医药间的利益关系以及降低医疗费用起到了一定的作用,但是三种模式均存在着缺陷,从而未能改变医疗机构对于药品的依赖。 在借鉴与我国医疗体制形式相近的日、韩两国的医药分开改革经验的基础上提出了对我国医药分开改革的思考。要想真正做到医药分开,就必须实现医药在收支核算、实物流通、补偿机制这三个方面的分开,从而改变医药间的利益分配结构,理顺医药关系,促使医药体制良性发展。最后,论文建议通过加大财政投入、改变财政支付方式、完善医疗保障制度以及利用税收调节等财政政策,引导医药分开政策的顺利实施。
[Abstract]:In recent years, the medical system of raising medicine with medicine in our country has caused many problems, such as unreasonable price of medicine, excessive medical treatment and corruption in medical field, which makes the contradiction of "difficult to see a doctor, expensive to see a doctor" prominent, and the relationship between doctors and patients is tense. In order to solve the problem of raising medicine with drugs, since 1998, our country has begun to study the related policies of separation of medicine and medicine, and has promoted the pilot reform of separation of medicine and medicine in various places, and has tried the two line pattern of revenue and expenditure and the mode of separation of pharmacy successively. It also tries to cut off the relationship between medical interests and eliminate the dependence of medical institutions on drugs. This paper discusses the necessity of the separation of medicine from medicine and the way of idealizing the separation of medicine by combing the policies of different stages of separation of medicine and analyzing the three models of separation of medicine and medicine currently in force, and drawing lessons from the experience and lessons of the separation of medicine from foreign countries. And how to guide the reform of medicine through fiscal policy. This paper first analyzes the concept, research background, significance and necessity of medical separation. In this paper, the formation, development and the policy of separating medicine from medicine to medicine are analyzed, and the change of policy from medicine to medicine is analyzed, and the malpractice of keeping medicine with medicine is also analyzed. Secondly, the thesis analyzes and studies the current three schemes of separation of medicine and medicine in our country and the effect of their implementation. It is found that although the current reform of separated medicine in our country has played a certain role in cutting off the relationship between the interests of medicine and reducing the medical cost, the three models all have defects, thus failing to change the dependence of medical institutions on drugs. Based on the experience of medical separation reform in Korea and Japan, this paper puts forward some thoughts on the reform of medicine separation in China. In order to realize the separation of medicine and medicine, it is necessary to realize the separation of income and expenditure accounting, material circulation and compensation mechanism, so as to change the distribution structure of benefits between medicines, straighten out the relationship between medicine and medicine, and promote the healthy development of medicine system. Finally, the paper proposes to guide the smooth implementation of the separation of medicine policy by increasing the financial input, changing the way of financial payment, perfecting the medical security system and utilizing tax regulation and other financial policies.
【学位授予单位】：首都经济贸易大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R197.1;F812.0
本文编号：2416428
[Abstract]:In recent years, the medical system of raising medicine with medicine in our country has caused many problems, such as unreasonable price of medicine, excessive medical treatment and corruption in medical field, which makes the contradiction of "difficult to see a doctor, expensive to see a doctor" prominent, and the relationship between doctors and patients is tense. In order to solve the problem of raising medicine with drugs, since 1998, our country has begun to study the related policies of separation of medicine and medicine, and has promoted the pilot reform of separation of medicine and medicine in various places, and has tried the two line pattern of revenue and expenditure and the mode of separation of pharmacy successively. It also tries to cut off the relationship between medical interests and eliminate the dependence of medical institutions on drugs. This paper discusses the necessity of the separation of medicine from medicine and the way of idealizing the separation of medicine by combing the policies of different stages of separation of medicine and analyzing the three models of separation of medicine and medicine currently in force, and drawing lessons from the experience and lessons of the separation of medicine from foreign countries. And how to guide the reform of medicine through fiscal policy. This paper first analyzes the concept, research background, significance and necessity of medical separation. In this paper, the formation, development and the policy of separating medicine from medicine to medicine are analyzed, and the change of policy from medicine to medicine is analyzed, and the malpractice of keeping medicine with medicine is also analyzed. Secondly, the thesis analyzes and studies the current three schemes of separation of medicine and medicine in our country and the effect of their implementation. It is found that although the current reform of separated medicine in our country has played a certain role in cutting off the relationship between the interests of medicine and reducing the medical cost, the three models all have defects, thus failing to change the dependence of medical institutions on drugs. Based on the experience of medical separation reform in Korea and Japan, this paper puts forward some thoughts on the reform of medicine separation in China. In order to realize the separation of medicine and medicine, it is necessary to realize the separation of income and expenditure accounting, material circulation and compensation mechanism, so as to change the distribution structure of benefits between medicines, straighten out the relationship between medicine and medicine, and promote the healthy development of medicine system. Finally, the paper proposes to guide the smooth implementation of the separation of medicine policy by increasing the financial input, changing the way of financial payment, perfecting the medical security system and utilizing tax regulation and other financial policies.
【学位授予单位】：首都经济贸易大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R197.1;F812.0
【引证文献】
相关期刊论文 前3条
1 王文炯;;北京市医药分开试点推广工作中的几点问题与思考[J];中国卫生经济;2016年08期
2 李格林;;医药电子商务对我国医药流通行业发展的影响[J];职业与健康;2015年24期
3 李格林;;医药电商模式对我国医药供应链的优化作用分析[J];中国卫生信息管理杂志;2015年03期
，本文编号：2416428
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