公立医院补偿机制改革之政府补偿方式探索——按工作量法补偿医疗服务亏损  

The exploration on government compensation methods for public hospitals:The way on the basis of service volume

作　　者：王丽洁[1] 陈文[1] 

机构地区：[1]复旦大学公共卫生学院公共卫生安全教育部重点实验室,上海200032

出　　处：《中国卫生政策研究》2011年第6期45-50,共6页Chinese Journal of Health Policy

摘　　要：政府补偿是公立医院补偿机制改革的关键,政府对医疗服务亏损的补偿在逐步取消公立医院药品批零差价时尤显重要,需要建立科学可行的补偿方案。本文就政府对公立医院财政补偿机制进行探讨,分析政府补偿范围及方式,并在综合考虑医疗服务质量和特点的基础上,提出基于综合工作量法和单位工作量补偿额的医疗服务亏损补偿方案,试图从机制上扭转公立医院不合理的补偿结构,为决策者提供参考。Governmental compensation is one of the focuses on compensation mechanism reform of public hospitals.The priority is to set up scientific and feasible mechanism to compensate the loss in delivering healthcare services after the gradual elimination of drug markup between wholesale and retail.This paper discusses the role of government in public hospital compensation and its scope and methods.It puts forward a detailed government compensation proposal to cover the service loss,on the basis of service volume and unit subsidy,in order to alter the current unreasonable compensation mechanism of public hospitals and provide evidence for decision makers.

关 键 词：公立医院 补偿机制 工作量法 

分 类 号：R197[医药卫生—卫生事业管理]