上海市三级公立医院特需服务发展的现状及趋势分析

摘要

目的:分析上海市三级公立医院特需服务发展的现状和趋势,为完善相关政策提供依据. 方法:梳理公立医院特需服务管理的相关政策,并对2011—2013年上海市三级公立医院提供特需服务的机构数量、服务数量、价格、费用等进行定量分析. 结果:上海市相关政策对特需服务规模具有明确要求,住院床位费、住院诊查费、护理费、门诊诊查费可由医院自主定价. 2013年,上海市89. 7%的三级公立医院开展了特需服务,特需服务数量变化较为平稳,但医院之间收费差别较大, 2013年上海市三级公立医院特需服务总费用占全院总费用的6. 2%,药占比低于全院平均水平. 结论与建议:公立医院特需服务的存在具有历史必要性,短期内应加强其监管. 公立医院应加强自身管理,规范提供特需服务. 借鉴国际先进经验,形成公立医院多层次的医疗服务格局,并积极开展与社会办医疗机构的合作.%Objective:To analyze status quo and trends of VIP services in the tertiary public hospitals of Shang-hai and provide references for health administrative departments. Methods:Health policies of VIP services in tertiary public hospitals were searched and analyzed, and the number of medical institutions, services, prices and service fees were analyzed from 2011 to 2013 . Results:There is a clear demand for VIP services in the tertiary public hospi-tals of Shanghai, and fees for rooms, nursing, and examinations for outpatient and inpatient care are decided by the hospitals. 89. 7% of the tertiary public hospitals in Shanghai offered VIP services, and the trend was steadily grow-ing. The four services that could be decided by hospitals varied greatly, and the service fees for inpatient care in-creased significantly. The total cost of VIP services in the tertiary public hospitals of Shanghai accounted 6. 2% of all costs, and the percentage of income from drugs was lower. Conclusions:VIP services in public hospitals have a his-torical necessity;management should be strengthened in the short term;public hospitals should strengthen their own management and provide VIP services regularly, and health administration departments should strengthen regulation. In the long run, it is suggested that public hospitals should draw lessons from international experiences to form a pat-tern of multi-level medical services and actively carry out cooperation with private medical institutions.