Maintain public hospital public welfare is not not to market 
 
 
Source: the 2015-06-04 19:51:01 | economic daily 

    After canceling drug addition, the medical service income will be the main source of income of public hospital. In this process, clarify the relationship public welfare and the market mechanism becomes crucial. The market mechanism does not exclude the value pursuit of public interest, in order to improve the efficiency of the allocation of resources, must rely on market mechanism organizational resources widely, still need to make full use of market mechanism in the field of medical and health care medical service resources potential and vitality 
 
    National health development planning commission officials said recently that implemented at the county level public hospital comprehensive reform this year, in addition to the traditional Chinese medicine yinpian, all public hospital drugs cancel the bonus. 
 
    Alleged drug addition, it is a hospital on the actual purchase price increase after a certain ratio for sales to patients. In addition to the early stage of the pilot to cancel bonus area, at present our country most public hospitals implement drug sales bonus. Hospital, the greater the amount of drug sales, the higher the bonus income, the revenue will be more in the hospital from the drugs. Drug addition "preference" expensive medicine, drives the hospital patients with increased medical costs, weakens the public welfare of public hospitals. 
 
    Public hospital is our country the public the main undertaker of disease diagnosis and treatment, the medical resources allocation level direct relationship with the public's health and life. It also determines the goal of the reform of public hospitals should be established to maintain public welfare, to mobilize enthusiasm, ensuring the sustainability of the new mechanism. In this sense, the cancellation of drug addition is necessary. 
 
    Cancel the drug addition, however, is just to break in medicine of medical mechanism, establish scientific new mechanism of public hospitals is not limited to this. 
 
    Cancel after drug addition, public hospital income from previous medical fee, drug addition income and financial aid three parts, a medical service fees and financial aid to two parts. In addition to increasing government financial input, the medical service income will be the main source of income of public hospital. In this process, clarify the relationship public welfare and the market mechanism becomes crucial. The market mechanism does not exclude the value pursuit of public interest, in order to improve the efficiency of the allocation of resources, must rely on market mechanism organizational resources widely, still need to make full use of market mechanism in the field of medical and health care medical service resources potential and vitality. 
 
    In particular, after the break the drug addition, the medical service price can increase, but also should avoid into the erroneous zone, simply will compensate the hospital medical service income. To establish scientific new mechanism of public hospitals, will also have to make exploration in the following respects. 
 
    One is to explore adopts the system of doctor more practice. The doctor is the main provider of public hospital medical service, the more practice, can better reflect the doctor's professional value, let the doctor through market-oriented means legal income. Sink at the same time, also help to promote high-quality medical resources, improve service ability, grassroots medical institutions change was hospitalized, smooth implementation hierarchical diagnosis and treatment, medical resources equalization, solve the problem of difficulty and high cost of treatment. More importantly, more practice is helpful for through the market mechanism to stimulate public hospitals and medical professionals to improve the enthusiasm of the medical service level, further meet the demand of the public disease diagnosis and treatment. 
 
    The second is to further the reform of public hospitals medical service pricing mechanism. Medical consumables and raw material purchasing price will be as market conditions vary, but the public medical service by the government, unified pricing, price adjustment cycle is long, difficult to make up for the service cost, it is not in accordance with market rules. , but by the hospital independent pricing according to market rules, established between public hospitals, public hospitals and private hospitals in medical service as the center of competition mechanism. According to the hospital to provide medical service level and price, when choosing clinic hospital patients have more space. If you want to earn more medical services, hospitals must improve the level of medical services, reasonable prudence to the medical service pricing, attract beds. 
 
 
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