加速收入结构调整强化医院公益作用的思考

摘要

Currently there are three channels of income in public hospitals these are public financial investment, insurance compensation and personal medical expenses, drugs addition (ie, drug dependent doctors). In many hospitals, drug income tend to occupy about half of the hospital's total revenue share. Cancel medicine suport to public hospitals, hospital income greatly reduced means significant adjustments hospital revenue structure, to maintain normal operation, must find new sources of revenue. This paper attempts to adjust the direction of the income structure, to consider and design canceled hospital"drug dependent doctors"vices for the early return of the public property of the hospital.%目前公立医院的收入有公共财政投入、医保补偿及个人医疗支出、药费加成(即以药养医)三条渠道。在很多医院，药品收入往往占据医院总收入一半左右的份额。取消公立医院以药补医，医院收入大减，意味着医院收入结构的重大调整，要维持正常运作，必然寻找新的收入来源。试图从收入结构调整的方向，来考虑和设计取消医院的“以药养医”恶习，争取早日回归医院的公益属性。