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我国药品新政策对重庆市公立医院经营策略的影响

     

摘要

OBJECTIVE: To provide reference for the exploration of new operation strategy in public hospitals. METHODS: Taking a series of new drug policies in New Medical Reform as the background, new literature analysis was used to summarize new drug policies in latest three year in China and health statistics of public hospitals in Chongqing during 2006 - 2010. The status quo of "to increase the revenue of hospital by excessive sales of drugs" in public hospital was analyzed. RESULTS: Over the past 5 years, 6 class three grade A hospitals in Chongqing were short of financial support from the government. They had difficulty in benefiting from medical service. The incomes from medicines maintained at 40% to 50%. These problems resulted in "to increase the revenue of hospital by excessive sales of drugs". CONCLUSION: Public hospitals need to explore new operation strategies, and they have to reform the compensation mechanism and strengthen their internal management systems so as to keep healthy developing in New Medical Reform.%目的:为公立医院探索新的经营策略提供参考.方法:以“新医改”中一系列针对药品的新政策为背景,采用文献分析法归纳我国近3年出台的关于药品的新政策和重庆市公立医院2006-2010年的卫生统计数据,分析公立医院“以药养医”现状.结果:近5年来,重庆市6家“三甲”医院政府财政投入严重不足,医疗服务创收困难,药品收入占医院收入比例维持在40%~50%.结论:公立医院必须探索新的经营策略,通过改革补偿机制,加强内部管理体制,才能在“新医改”中维持医院健康发展.

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