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| 投稿时间： 2015-01-16 最后修改时间： 2015-05-07 摘要点击次数: 3017 全文下载次数: 1592 |
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| 引用本文：马伟杭, 王桢, 孙建伟,等.浙江省公立医院医疗服务价格改革的探索与实践[J].中国卫生政策研究,2015,8(5):19-23 |
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| 马伟杭, 王桢, 孙建伟, 徐飞鸿 |
| 浙江省卫生和计划生育委员会 浙江杭州 310006 |
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| | 摘要:浙江省公立医院综合改革以来,通过调整医疗服务价格,完善医疗服务收费结构,同步完善医保政策,采取先放后限价格调整策略等措施,一定程度上体现了医务人员劳务价值,保持了公立医疗机构的平稳运行,引导了医疗资源的优化配置.本文通过分析浙江省医疗服务价格调整的各项举措,评判成效与不足,建议从推进医疗、医保、医药三医联动,探索药械采购新机制,建立医疗服务价格动态调整机制,探索医疗服务价格管理新机制,加强医疗服务监管等方面进一步深化公立医院综合改革. | |
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关键词:公立医院 医疗服务价格 医疗改革 医疗保险
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| Exploration and practice of the public hospital medical service price reform in Zhejiang Province |
| MA Wei-hang, WANG Zhen, SUN Jian-Wei, XU Fei-Hong |
| Health and Family Planning Commission of Zhejiang Province, Hangzhou Zhejiang 310006, China |
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| | Abstract:Since the launch of the comprehensive public hospital reform in Zhejiang Province, the price of medical services has been adjusted, and the charging structure of medical services has been improved. Likewise, medical insurance policies have been optimized. Through several price adjustment strategies, such as the “loosen-restrain” policy, the labor of medical personnel has been better valued, the operation of public medical institutions has been stabilized, and the allocation of medical resources has been optimized. Hence, this paper aims to measure the achievements and drawbacks of the medical service price adjustments by analyzing the various strategy. It is suggested that the comprehensive public hospital reform should be further intensified via the advancement of coordination of healthcare, medical insurance and medicine, the exploration of new procurement mechanisms for drugs and medical equipment, the establishment of dynamic adjustment mechanisms for medical service pricing, the exploration of new management mechanisms for medical services, and the strengthening of medical service supervision. | |
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