Research Of Compensation Mechanism In Public Hospitals After The Abolition Of Drugs Addition

At present,China begun a new round of medical and health system reform,a key element of which is the reform of public hospitals, while the success of the reform of the compensation mechanism is the key to the reform of public hospitals.Over the years, the compensation channels in public hospitals mainly include three parts:financial assistance, medical services fees and income from pharmaceuticals.In recent years, the state financial input in health decreasing, while the implementation of health services is the limit below-cost pricing policy, public hospitals in maintaining the daily operation and expansion of the scale, improve service levels, had to rely on Drugs addition to compensate, leading to emergence of a public benefits or reduce the tendency of public hospitals reduced public welfare, "medical treatment is difficult and expensive, charges for medicine" had become prominent contradiction, seriously affected the social image of public hospitals.This paper apply public management, public policy analysis studies, health economics, hospital management theory, using theoretical analysis, comparative studies, qualitative analysis and quantitative analysis method of combining to Jining city directly under the municipal health units, for example, from a policy tool perspective, the current compensation mechanism for public hospitals, the problems were analyzed, the current compensation mechanism for public hospitals, a problem mainly in:(1)put a serious shortage of government financial assistance; (2)charges for medical services unreasonable price; (3)drug revenue accounted for a larger proportion, drug addition the policy has led to the rise in drug costs, "to drugs to support medical" phenomenon seriously; (4)low proportion of other income, to compensate for the role of public hospitals would not achieve. Carried out on these issues in-depth analysis of the reasons, both the reasons for government departments, there are public hospitals, its own reasons, both cognitive factors, but also institutional reasons."On Deepening the views of medical and health system reform" proposed, "to gradually reform or abolish drugs addition policy". Well, cancel the policy on how drug-plus compensation mechanism for public hospital reform? The issue of compensation mechanism in the public hospitals to conduct a comprehensive study, and further proposed to abolish the policy of drug-plus compensation mechanism in the reform of public hospitals countermeasures and suggestions, mainly including:(1)strengthen the Government's awareness of the importance of health to ensure a reasonable financial investment; (2)continuously improve the medical service price system; (3) Pharmaceutical additional service charges, plus drugs to make up after the abolition of the income gap; (4)further promote drug production and circulation system; (5)improve the medical insurance service system to promote the "third-party payers"; (6)supporting the implementation of the reform of public hospitals to ensure its efficient operation; (7)active in attracting external funding to form a multi-run medical situation.Public hospitals compensation mechanism is an important part of the public hospitals reform, and is closely related to all aspects of the reform of public hospitals. This topic will be the reform of public hospitals in the compensation mechanism combined with other reform measures, and explore mutually beneficial to the patient's compensatory mechanisms, and further enriched the study of public hospitals, reform of the mechanism of compensation of the theoretical system. Study medicine in public hospitals in the "post-plus" era of the compensation mechanism in the reform is conducive to solving the strong "for medical care, expensive drugs" issue, and promoting public hospital to change the current "to drugs to support medical" model, to achieve its scientific and standardized development, help protect the health of the masses, to the ongoing health system reform an extremely important and far-reaching significance.