上海市公立医院经济运行现状及药品加成分析

发布时间：2018-09-05 10:01

【摘要】：目的:分析上海市公立医院经济运行和药品加成现状,提出相应政策建议;方法:对2012—2013年上海市公立医院经济运行和2013年不同类型公立医院药品加成状况的分析进行定量分析,并针对现状反映的问题开展定性访谈;结果:公立医院业务量保持较快增长、但结构不尽合理;总收支基本同步增长,医疗收支存在亏损;药品加成率逐年降低,不同类型医院差异较大。结论:建议合理引导居民就医秩序,促进医疗资源有效利用;适时调整医疗服务价格,弥补医疗服务成本;核定政策亏损总量,分类制定补偿标准。
[Abstract]:Objective: to analyze the current situation of economic operation and drug addition in public hospitals in Shanghai and put forward corresponding policy suggestions. Methods: the economic operation of Shanghai public hospitals in 2012-2013 and the drug addition status of different types of public hospitals in 2013 were analyzed quantitatively, and qualitative interviews were conducted in view of the problems reflected in the present situation. Results: the business volume of public hospitals kept increasing rapidly, but the structure was not reasonable, the total income and expenditure increased synchronously, the medical revenue and expenditure were deficit, the drug addition rate decreased year by year, and the difference between different types of hospitals was great. Conclusion: it is suggested to reasonably guide residents to seek medical treatment order, to promote the effective use of medical resources, to adjust the price of medical services in good time, to make up for the cost of medical services, to check the total amount of policy losses, and to make up the compensation standard by classification.
【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;上海财经大学公共经济管理学院;复旦大学公共卫生学院;上海市人口与发展研究中心;
【基金】：上海交通大学中国医院发展研究院委托课题(SJYF2014XD001B) 上海市公共卫生重点学科建设项目(卫生经济学,12GWZC0601) 美国中华医学基金会卫生系统研究与政策转化合作项目(11-061)
【分类号】：R95

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