医疗机构扭曲的补偿机制依然存在:西部地区实证  

The distorted reimbursement mechanism of the medical institutions in western China area still exists

作　　者：郭连增[1] 孙梅[1] 励晓红[1] 王颖[1] 苌凤水[1] 吕军[1] 陈英耀[2] 朱道立[3] 傅华[2] 郝模[1] 

机构地区：[1]复旦大学卫生发展战略研究中心,上海200032 [2]复旦大学公共卫生学院,上海200032 [3]同济大学经济与管理学院,上海200092

出　　处：《中国卫生资源》2011年第1期60-62,共3页Chinese Health Resources

基　　金：国家自然科学基金重点项目基金资助;项目编号:70733002;"长江学者特聘教授"项目基金资助;教育部2009年度创新团队项目基金资助;项目编号:IRT0912

摘　　要：为多个角度、多种方法论证医疗机构扭曲的补偿机制,依据"医院补偿机制恶性循环"等定量论证方法,对西部地区某省医疗机构的补偿机制进行分析,发现:西部地区某省医疗机构财政18年来财政投入累计缺口10.2亿元,造成医疗机构业务负债经营。为弥补财政投入不足,医疗机构"多开点药、多做点检查",累计增加业务收入41.2～94.8亿元,造成31.0～84.6亿元的浪费。浪费中,财政和物价承担62.6%～118.3%的责任,起着决定性作用,医疗机构只是财政和物价的载体。证明西部地区医疗机构扭曲的补偿机制依然存在。To demonstrate the distorted reimbursement mechanism from different angles and various methods, the article used the quantitive model,such as ＂the vicious circle model of the reimbursement mechanism＂,to illustrate the reimbursement mechanism of one province in western China area,finding that there was a big gap of 1.02 billion yuan in financial investment in the past 18 year which leaded to the result that the medical institutions operated with debt.In order to remedy the shortfall of the revenue,the medical institutions provided more prescription drugs and more medical examinations.As a result,the medical expenditure increased 4.12～9.48 billion yuan and health resources wasted 3.10～8.46 billion yuan.Playing a decisive role,the finance and commodity prices took 62.6%～118.3%of the responsibility for the waste.Overall,the distorted reimbursement mechanism still exists in the province of western China area.

关 键 词：补偿机制 业务收入 财政补助 

分 类 号：R197[医药卫生—卫生事业管理]