| 引用本文：李芬, 王瑾, 陈多, 方欣叶, 金春林.建立符合中医药服务运行特点的中医医院补偿机制[J].中国卫生政策研究,2016,9(4):44-48 |
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| 建立符合中医药服务运行特点的中医医院补偿机制 |
| 投稿时间：2016-02-06 修订日期：2016-04-15 PDF全文浏览 HTML全文浏览 |
| 李芬1,2, 王瑾1, 陈多1, 方欣叶1, 金春林1,3 |
1. 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 200040;
2. 复旦大学公共卫生学院 上海 200032;
3. 上海市人口与发展研究中心 上海 201199 |
| 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。 |
| 关键词:中医医院 补偿机制 财政补助 价格调整 支付方式 |
| 基金项目:上海市中医药科研基金资助项目(2014010G) |
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| To build a compensation mechanism of TCM hospitals according to the characteristics of operation |
| LI Fen1,2, WANG Jin1, CHEN Duo1, FANG Xin-ye1, JIN Chun-lin1,3 |
1. Shanghai Medical Information Center, Shanghai Health Development Research Center, Shanghai 200040, China;
2. School of Public Health, Fudan University, Shanghai 200032, China;
3. Shanghai Population and Development Research Center, Shanghai 201199, China |
| Abstract:The characteristics of economic operation of Traditional Chinese Medicine (TCM) was figured in this paper.Compared with general hospitals, the TCM services largely relied on the knowledge of medical staff, less depended on the use of inspection and testing equipments; the cost and loss of pharmaceutical services were higher, the proportion of drug income was greater; and the price of medical service was not adequate, and the medical spending was lower when treating the same kind of disease.According to these characteristics, some provinces and municipalities explored ways to improve the compensation mechanism of TCM hospitals, including increasing financial subsidy based on the size of authorized employee, the amount of services or the performance; adjusting the price of TCM medical services, expanding the scope and rate of reimbursement of TCM services.By comparing the pros and cons of the reform measures mentioned above and the effects thus produced, policy recommendations were put forwarded: To enhance the self-financed ability of TCM hospitals through adjusting of medical service price.To increase the amount of global budget for TCM hospitals and payment rate for TCM services, and to accelerate the implement of DRGs payment.To raise the financial subsidy base on performance. |
| Key words:Traditional Chinese Medical hospital Compensation mechanism Financial subsidy Price adjustment Payment |
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