当前医疗费用上升的原因和对策  

Causes of the current rise in medical expenses and countermeasures

作　　者：康永军[1] 张洪彬[1] 徐昌青[1] 

机构地区：[1]山东省千佛山医院,济南250014

出　　处：《中华医院管理杂志》2005年第4期220-223,共4页Chinese Journal of Hospital Administration

摘　　要：引用统计数据反映医疗费用上升的现状。分析了医疗费用上升的原因①发展的必然性,如疾病谱的变化,新技术、新材料的应用,社会总体物价指数的上升,人们就医要求的提高;②社会因素的影响,如医疗保障制度的不健全,政府投入比例的降低,医疗定价和补偿的不合理,药品、卫生材料的虚高定价,医院自身经营成本过高;③“以药养医”政策的助推作用。从政府物价财政部门、卫生行政部门、医院三方提出了控制医疗费用上升的对策。The current situation of the rise in medical expenses is shown through statistics and the causes of the rise are analyzed. These include: ①inevitability of development, such as changes in the spectrum of diseases, use of new technologies and materials, rise in the overall price index, and generally increased needs for medical care; ②restriction of social factors, such as the imperfect medical insurance system, the reduced proportion of input by the government, the irrational medical pricing and compensation, the fictitiously high pricing of drugs and health materials, and the hospital's excessively high operational costs; ③the boosting effect of the 'supporting medicine with drugs' policy. Countermeasures are put forward for the government's price control and financial organs, the departments of health administration, and the hospitals.

关 键 词：医疗费用 上升 医疗保障制度 “以药养医” 卫生行政部门 统计数据 物价指数 社会因素 政府投入 医疗定价 虚高定价 卫生材料 经营成本 财政部门 疾病谱 新材料 不合理 医院 

分 类 号：R197.3[医药卫生—卫生事业管理]