共查询到16条相似文献,搜索用时 93 毫秒
1.
增设药事服务费作为推进公立医疗机构补偿机制改革的一个部分,已在新医改方案中明确提出了。药事服务费的收取是调整医疗服务价格的一部分。为推进医药分开,逐步取消药品加成。医院由此减少的收入或形成的亏损通过增设药事服务费、调整部分技术服务收费标准和增加政府投入等途径来解决。而且明确指出药事服务费将纳入基本医疗保险报销范围。从具体实施的层面来看,药事服务费按什么比例来收,谁来收,如何收法,都还没有具体的实施细则。这需要我们做一些理论和国际经验的探讨。 相似文献
2.
谈到公立医院改革,就会联想到医药怎么分开,如何补偿医院?厦门公立医院改革,就是从鼓励以收付费制度改革为切入点解决以药补医问题。我们探索了很多“医药分开”的具体途径,逐步取消药品加成政策,对公立医院由此减少的合理收入,采取增设药事服务费、调整部分技术服务收费标准等措施,通过医疗保障基金支付和增加政府投入等途径予以补偿。药事服务费纳入基本医疗保障支付范围。 相似文献
3.
4.
医疗机构要增设药事费早在两年前就提出来了,今年2月份卫生部等5部委又提出,逐步取消药品加成政策,对公立医院由此而减少的合理收入,采取增设药事服务费,调整部分技术服务收费等措施,通过医疗保障基金支付和增加政府投入等途径予以补偿。可是事到今天,还没有一个地区得以落实。 相似文献
5.
6.
通过文献综述对药事服务费的相关概念进行了梳理。在此基础上,利用上海市宝山区5家综合性医院的财务会计报表和调查统计表数据,分别测算了弥补药品加成收入和弥补药事服务成本两种不同思路下的药事服务费,并对不同财政投入和医疗服务价格政策下的药事服务费收取标准进行了敏感性分析,为政府科学决策提供了理论依据。研究认为,取消药品加成、收取药事服务费是医改深入推进的必然趋势,药事服务费在不同经济发展程度的地区可有不同收费标准,但均要建立定期调整机制。 相似文献
7.
王顺利 《中国卫生事业管理》2011,28(10)
新医改方案指出增设药事服务费,逐步取消药品加成政策.药事服务与药事服务费之间存在相辅相成的关系,药事服务费是弥补药事服务成本的合理途径,是促进药事服务水平提升的必然手段. 相似文献
8.
9.
10.
目的:了解成都市公立医院药事服务情况,以及医药工作者对于药事服务费的收费意愿(收费方式和收费水平),为药事服务费的定义和测算提供依据.方法:采取分层随机抽样的方法选取调查对象,用自行设计的问卷进行现场调查.结果:医药工作者对药事服务费认识中两项内容的应答人数百分比小于75%;10项药事服务中,医师药师分别承担三项、两项.共同承担三项,两项未开展;药事服务费收费方式选择排首位,门诊和住院分别是按人次(37.3%)和按药品种类(37.3%).结论:成都市公立医院医药工作者对药事服务认识不够;药事服务水平低;医师、药师药事服务分工不明确. 相似文献
11.
目的:探讨我国公立医院改革过程中设立药事服务费具备的优势和劣势以及外部环境带来的机遇和威胁.方法:运用管理学中的SWOT理论,对我国公立医院改革过程中设立药事服务费进行系统分析,并提出相应的意见和措施.结果:在我国公立医院改革过程中设立药事服务费虽不能完全解决公立医院亏损问题,但是能够在一定程度上缓解改革带来的诸多矛盾.因此,在我国公立医院改革中设立药事服务费势在必行. 相似文献
12.
张维斌 《中国卫生政策研究》2017,10(2):27-31
健全公立医院药品零差率销售的补偿制度,是破除"以药补医"机制的重要内容。本文通过随机抽样调查重庆市5个区县的人民医院和中医院实施药品零差率销售前后的数据资料,采取定量描述与定性分析相结合的研究方法,对重庆市区县公立医院实施药事服务费补偿政策状况及效果进行了评价。结果表明,重庆药事服务费补偿政策设计比较合理,初步形成对公立医院的正向激励作用,对降低门诊和住院次均药品费用的作用明显;但药事服务费实际补偿率偏低,公立医院综合投入补偿机制和运行机制改革相对滞后,不利于调动公立医院深化改革的积极性。 相似文献
13.
14.
L Paringer 《Health care financing review》1980,1(3):75-89
A physician's Medicare assignment rate is one measure of his or her willingness to participate in the Medicare program. The assignment rate reflects the proportion of services provided to Medicare beneficiaries for which the physician accepts the Medicare reasonable fee as payment in full. Generally, Medicare reasonable fees are lower than the payment which a physician receives from providing the same service to a private patient or to a Medicare patient who is not treated on assignment. Because Medicare eligibles not treated on an assigned basis are financially liable for the difference between the physician's charge and the Medicare reasonable fee, the assignment rate is an indication of the out-of-pocket costs borne by Medicare eligibles. One factor which may affect the willingness of physicians to accept patients on assignment is the difference between the reimbursement which he or she may receive in the private market and the fee received from treating Medicare eligibles on assignment; Throughout this paper we assume that the physician's private price or billed charge is equivalent to the level of reimbursement received from treating privately insured patients and Medicare non-assigned patients. Since the level of reimbursement is generally no greater than the billed charge and may be less, this assumption may overstate the actual reimbursement received by the physician. In all instances, reimbursement refers to the aggregate amount received by the physician from all sources for a given service. The lower a physician's Medicare reasonable fee relative to the private market fee the less willing he/she may be to participate in Medicare assignment. This paper examines the effect of changes in Medicare reimbursement on the assignment rates of physicians. It also predicts Medicare assignment rates under a policy option which would increase Medicare reasonable fees to the level of prevailing fees. 相似文献
15.
Grimaldi PL 《Health progress (Saint Louis, Mo.)》1990,71(3):54-58
The Omnibus Budget Reconciliation Act of 1989 (OBRA '89) eliminates Medicare's "reasonable charge" method of reimbursing physicians, replacing it with a fee schedule based on a relative value scale. The new payment system's major goals are to decrease Medicare's long-term spending growth rate for physician services and to divide Medicare physician payments more equitably. The two major components of the fee schedule are a relative value scale and a conversion factor. With adjustments to accommodate geographical variations in practice costs, Medicare will pay the lower of (1) a physician's actual charge for service or (2) the fee schedule amount. The nucleus of the fee schedule will be a resource-based relative value scale (RBRVS), which is intended to reflect the costs efficient physicians are expected to incur when providing a service. OBRA '89 directs the Health and Human Services (HHS) secretary to review the RBRVS at least once every five years. The conversion factor, which the HHS secretary may calculate separately for all physician specialties combined or for groups of specialties, will initially be based on 1991 aggregate Medicare spending. Thereafter a formula will be used to update the fee schedule each year. Another feature of OBRA '89 will be a cap on fees charged by physicians who do not participate in Medicare. Because a number of tasks remain to be completed before RBRVS can be implemented, OBRA '89 provisions may be delayed. There is even a remote possibility that the new payment system may not be implemented. 相似文献