公立专科医院补偿政策模型研究  

A study on the compensation policy model for stated-owned specialized hospital

作　　者：孙统达[1] 顾竹影[2] 李冠伟 徐盛鑫 严雪雅[1] 谷占强 陆红娟 

机构地区：[1]宁波天一职业技术学院,宁波市新芝路23号315100 [2]浙江大学医学部医院管理办公室,浙江省杭州余杭塘路866号310058 [3]宁波市卫生局,宁波市海曙区永丰路237号315010 [4]卫生经济研究杂志社,杭州市上城区大学路91号310009

出　　处：《中国医院》2011年第10期28-31,共4页Chinese Hospitals

基　　金：浙江省2010年度哲学社会科学规划课题(项目编号:10CGYD52YB)

摘　　要：对逐步降低或取消药品加成率后公立专科医院补偿模式进行了探讨,根据政府财政补助、增设药事服务费及医疗服务价格调整等不同补偿途径组合,结合浙江省23家公立专科医院2007-2009年经济运行状况,构建了8种公立专科医院补偿政策模型。结果表明,政府财政均次标准工作量补助以新政策模型Ⅲ为最高(比较安全与安全下分别为31.76元/人次、33.21元/人次),以新政策模型Ⅳ为最低(8.57元/人次与12.91元/人次),认为应根据不同类别公立专科医院的实际情况区别对待,尝试不同分类补偿政策模型,重点要建立政府长效财政保障机制。After the progressive reduction or cancel of the drug price addition rate, the construction of compensation policy model for statedowned specialized hospital was studied in the paper. Eight types of the compensation policy models for stated-owned specialized hospital, which based on different combinations of compensations, such as government subsidy, pharmaceutical service fees increase and medical service prices adjustment, in the light of the economic operation conditions of 23 stated-owned specialized hospitals in Zhejiang province between the year of 2007 and 2009, were set up. The government subsidy per standard work load was the highest and the lowest in the new policy model of type Ⅲ and type Ⅳ, which was 31.76 Yuan and 8.57 Yuan per man-time for relatively safety, 33.21 Yuan and 12.91 Yuan per man-time for safety, respectively. The different compensation policy models should be adopted according to actual situations of different categories of stated-owned specialized hospital. It was imperative to establish the long acting government financial support mechanism.

关 键 词：公立专科医院 收支管理 盈亏平衡分析法 补偿政策模型 

分 类 号：R197.32[医药卫生—卫生事业管理]