药品零差价四年后物价政策补偿到位情况实证分析

发布时间：2018-01-19 00:06

本文关键词： 药品零差价价格政策补偿　出处：《中国卫生经济》2017年09期 　论文类型：期刊论文

【摘要】：目的:回顾性分析药品零差价政策实施后药品收益减少以及物价补偿收益增加情况,评价物价政策补偿到位比例及其改革成效,为实施药品零差价政策提供决策参考。方法:在医院信息系统中获取2013—2016年西药、中成药使用总额,药品零差价实施前后医疗收费物价目录及项目次数,分门诊、住院计算药品收益减少以及医疗项目收费增加情况。结果:2013年至2016年物价政策补偿到位率分别为94.59%,89.51%,95.18%和95.64%;4年合计政策补偿到位率为93.67%;门诊补偿主要以诊查费(75.22%)、治疗费(11.18%)和手术费(5.91%)为主;住院补偿主要以手术费(36.40%)、护理费(19.09%)、诊疗费(19.08%)和治疗费(13.53%)为主;物价政策补偿效果良好。结论:物价政策补偿符合改革预期;与物价主管部门信息共享有助于建立科学合理的物价补偿政策;应进一步加强药品与耗材使用控制扩大改革成果。
[Abstract]:Objective: to analyze retrospectively the decrease of drug income and the increase of price compensation income after the implementation of the zero difference policy, and to evaluate the proportion of price policy compensation in place and the effect of the reform. Methods: to obtain the total amount of western medicine and Chinese patent medicine from 2013-2016 in hospital information system. Before and after the implementation of the zero price difference of drugs, the list of medical charges and the number of items shall be divided into outpatient clinics. Results: from 2013 to 2016, the compensation rate of price policy was 94.59- 89.51%. 95.18% and 95.64; The total policy compensation rate of 4 years is 93.67; The main compensation in outpatient service was 75.22%, 11.18% and 5.91% respectively. The inpatient compensation mainly consists of operating expenses (36.40), nursing (19.099), diagnosis and treatment (19.08) and treatment (13.53). The effect of price policy compensation is good. Conclusion: the price policy compensation accords with the reform expectation; Sharing information with the department in charge of price is helpful to establish a scientific and reasonable price compensation policy; We should further strengthen the control of the use of drugs and consumables and expand the results of reform.
【作者单位】：浙江省绍兴市人民医院;
【分类号】：R951
【正文快照】： 随着药品零差价政策的全国范围推广实施,由于政策补偿不到位导致医院大幅亏损,引起医院经营困难,甚至医院拒付药品供应商药款等纠纷见诸媒体,药品零差价政策实施后引发医疗界强烈反响的不良事件屡有发生。绍兴市市级公立医院改革试点自2012年9月12日全面启动,其主要内容是取消

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