试论与取消医院药品加成相关联的政策措施

目的:解决药品在医院流通的成本问题,确保医院长期健康、稳定、有序地运行与发展。方法:通过介绍医院药品运行管理的基本特征及相关情况,针对医改试点中取消医院药品加成而出现的医院收入短缺问题提出意见与建议。结果与结论:医院的药品运行管理是一个与诸多因素相关联的复杂的系统管理,既需要具备专业技术资质,又需要有人力、知识技术、仓储和设备以及资金投入等。而取消医院药品加成是一个综合性的政策措施,在取消不应该收取的费用的同时,应该开启新的成本回收方式或渠道,适当调整医疗服务价格和增加政府投入;同时,需要制定合适的药事服务收费额度,并适当提高医疗服务价格。

Study on Strategies and Measures Related to Hospital Drug Addition Cancellation

OBJECTIVE： To solve the problems of drug circulation cost in hospital, and to guarantee long-term healthy, stable and orderly operation and development of hospital. METHODS： Through introducing the general characteristics and related information of hospital drug operation and management, the advices and suggestions were put forward for the shortage of hospital income resulted from hospital drug addition cancellation during medical reform. RESULTS ＆ CONCLUSIONS： Hospital drug operation and management are multiple factors-related complex system management; it not only requires professional technical qualification, but also needs the input of manpower, knowledge technology, storage, equipments and fund, etc. It is an all-around strategy and measure that hospital drug addition has been cancelled; unreasonable charge should be cancelled, and new way and channel of cost recovery are needed; medical service price should be adjusted and government income should be increased suitably; at the same time, suitable charging line of pharmaceutical service should be formulated, and medical service price can be increased appropriately.