公立医院药事服务费收取标准的测算与敏感性分析

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。

Calculation and Sensitivity Analysis of Pharmaceutical Service Fee of Public Hospitals

Research summarizes the related concepts of pharmaceutical service fee by literature review. On the basis of investigation, report and financial statistical data of 5 general hospitals of Baoshan District, research calculates pharmaceutical service fees in two different ways： one is making up for medicine markups income, and the other one is making up for the cost of pharmaceutical services. Research makes a sensitive analysis of pharmaceutical service fee under different financial investment and medical services price policy. By this way, research provides a theoretical basis for the government to make a scientific decision. It is thought that canceling the medicine markups and charging of pharmaceutical service fee is the inevitable trend of the deepening reform, pharmaceutical service fees may have different rates at different levels of economic development areas, and the government must establish a regular adjustment mechanism for pharmaceutical service fees.