摘要
文章依据"医疗机构补偿机制恶性循环定量论证方法"等,利用卫生统计及卫生财务年报数据对中国医疗机构补偿机制进行分析,发现:1978年以来政府对医疗机构的财政投入呈现萎缩且日益加重,1978年-1991年累计财政缺口达769.3～894.0亿元,即使按1991年财政补助水平,2008年财政缺口仍高达178.5亿元;在扭曲的物价标准下,为弥补财政投入的不足,医疗机构"多开点药、多做点检查"成普遍行为,仅2008年就导致全国医疗费用过快增长719.3～1 722.2亿元,造成浪费540.8～1 593.8亿元。证实了改革开放至今的30多年来,财政投入不足和按服务项目支付方式下畸形的物价定价机制作用,扭曲的补偿机制一直困扰着公立医疗机构的生存和发展。
Data from the statistical reports of health administration institutions were used to construct reimbursement mechanism of medical institution,combined with qualitative and quantitative methds concering vicious circle model of health system.The analyzing result suggests that the government subsidies dropped year after year since 1978.There was a 76.93～89.40 billion yuan fiscal gap totaled from 1978 to 1991,and 17.85 billion yuan in 2008. Under the distorted standard of prices,the medical institutions depended on more prescription drugs and more medical examinations to compensate for deficit of health investment,which lead to an over - increase of medical expenditure of 71.93～172.22 billion yuan and a waste of medical resources during 54.08～159.38 billion yuan.In general, the study confirmed that medical institutions had been plagued by the distorted reimbursement mechanism that affecting their survival and development.
出处
《中国卫生资源》
2011年第1期50-51,56,共3页
Chinese Health Resources
基金
国家自然科学基金重点项目基金资助
项目编号:70733002
"长江学者特聘教授"项目基金资助
教育部2009年度创新团队项目基金资助
项目编号:IRT0912
关键词
财政补助
业务收入
医疗机构
补偿机制
Government subsidies
Operating revenue
Medical institution
Reimbursement mechanismm
