The Study On Compensation Mechanism For Zero Mark-Up Essential Drug Policy Of Basic-Level Medical Organization

The Status of the Difficulty and High Cost of Getting Medical Service always is a problem of facing current medical reform. Based on this, Implementation Plan for the Recent Priorities of the Health Care System Reform (2009-2011) clearly put forward to preliminarily seting up the national essential medicines system. Subsequently the government launched On The Establishment of A National System For Basic Drugs of The Implementation Opinions and The National Basic Drugs Directories Management Measures(interim) and The National Basic Drugs Directory (Basic Medical And Health Institutions Equipped With Use Part)"(2009edition). The national essential drug system first implemented in the government-run primary health care sector. Its including the selection of adjustments to the National Essential Drugs List, production and supply security,centralized bidding and uniform distribution,zero mark-up,all with the use of Medicare reimbursement,financial compensation,the quality and safety supervision and performance evaluation related to policy approaches.The national essential drug system has been carried out three years. On one hand,the plicy preliminary appeared effect, on the other hand,with the implementation of plicy was facing with many problems. At present,the author discussed compensation issues of basic-level medical organization implementing zero mark-up policy of essential drug. Using the methods of document investigation to classify and summary compensation mechanism of every province basic-level medical organization implementing zero mark-up policy of essential drug.Using multiple factor analysis and comparison analysis to comparative analysis the three aspects of capital management method and compensation mode and financing channel.Find out the best compensation mechanism of combination of three aspects and put forward the suggestion for implementation of the compensation mechanism. Namely using "separating revenue from expeditures" capital management metho. implementing multi-channel compensation mode add patients compensation mode and with "awards for generations" compensation mode, compensation funds is collective burden by government finance, security and the patient. On the basis of the compensation mechanism,the author put forward three suggestions. The first, how to improve medical personnel of the basic-level medical institutions enthusiasm?The second,how to pay surpluses of medical insurance? The third, how to determine the compensation fund of patients?...