国家卫生计生委预算管理医院医药费用管控现状及其思考

摘要

从国家卫生计生委预算管理医院医药费用管控现状入手,分析了委预算管理医院在医药费用管控方面的具体措施,以及在规范医疗服务行为、控制费用不合理增长、提升服务效率以及强化公立医院的公益性等效果.最后从控制医药费用与保证医疗质量的矛盾;优质医疗资源过度集中与降低医药费用的矛盾;医疗定价不合理,未能体现人力技术价值;医保政策不完善,正向激励机制不完善等方面提出了委预算管理医院医药费用管控的若干思考.%Based on the status quo of medical cost control and management in NHFPC delivered hospitals, medical cost control countermeasures and its effectiveness on standardizing medical service behavior, controlling medical cost irrational growth, promoting efficiency and strengthening public interest are analyzed. Thoughts on medical cost control in NHFPC delivered hospitals by analyzing the contradiction between medical cost control and assuring medical quality, contradiction between excellent medical resources over centralization and medical cost control, irrational medical service price mechanism, incomplete of medical insurance policy and unreasonable positive incentive mechanism are discussed.