Research On The Cost Compensation Mechanism In Public Hospitals Under The Background Of Zero Profit Drug Policy

Objective This study aimed at "zero profit drugs" policy implementation in the background, expect a public hospital in Tangshan City compensation mechanism analysis, costing its medical services, for the adjustment of prices of medical services and cost compensation mechanism develop optimization strategies to provide a scientific basis.Methods Literature research, questionnaire, cost accounting and other methods, the status of a public hospital compensation mechanism before and after drug addition Tangshan canceled describe and measure their medical costs and recovery projects,determine medical price adjustment Program.Results 1 before the "zero profit drug" policy implementation, 2012-2014 Tangshan City,a public hospital payments surplus rate 1.37%, 1.34% and 0.44%, respectively; in 2012-2014 Tangshan City, a public hospital revenue construction, government financial subsidies accounting for respectively 1.32%, 1.01% and 0.92%, business income accounted for 98.38%, respectively, 98.6% and 98.35%, respectively, other income accounted for 0.3%, 0.42% and 0.73%; in 2012-2014 Tangshan City, a public hospital outpatient drugs income was the largest income share 60.63%, 61.04% and 62.3%,followed by laboratory examination of income, registered the smallest proportion of income; while in the hospital drug income revenue accounted for separately to 44.85%,46.61% and 44.71%, the largest proportion, followed by sanitation materials income; 2after "zero profit drug" policy implementation, 2012-2014 a public hospital in Tangshan payments surplus rates were-8.24%,-8.53% and-9.51%; in 2014 the hospital revenue as objects, measure out the amount canceled after drug addition,a public hospital in Tangshan in the drug accounted for 45%, should be compensated for 63036 million Yuan;3 a public hospital in Tangshan medical projects costing the average cost recoveries six projects: checkups and classes for 11.88%, 20.3% nursing class, treatment of 29%, after endovascular treatment category is 43.12 %, Surgery category was 40.9% in Traditional Chinese Medicine to 17.19%.Conclusion a public hospital in Tangshan compensation mechanism study can be found in our public hospital compensation mechanism problems: a serious shortage of government financial investment, the price of medical service pricing mechanism unreasonable charges, income compensation for a large proportion of drugs; through analysis of its causes, as well as medical items costing, then proposed medical service price adjustment programs: checkups, care increased by 200 per cent on the basis of the current government guidance; surgery, interventional class; treatment costs increased by20% Treatment increase by 35%; Chinese medical expenses increased by 50%.Interventional class treatment programs can float up to 20% on the basis of the adjusted price, fall limited. Key disciplines of surgery and treatment cost the project on the basis of the adjusted price, up 10%. On the basis of price adjustment on health services,further supporting the proposed measures: increase government financial investment in public hospitals, improve medical service price system, and further promote the pharmaceutical production and distribution system, improve the medical insurance system.