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江苏省公立中医类医院医药价格综合改革效果评估
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摘要:
目的 对江苏省中医类医院实行的全面医药价格综合改革的政策进行效果评估,为政府医药价格改革的成效提供实证支持以及为继续深化改革提供建议。方法 借鉴韦唐公共政策评估模式中的效果模式,根据医药价格综合改革目标,对比分析政策实施前后的效果。结果 改革后财政补助收入、医保收入、服务收入不断增长,药品收入比重下降了3.3%,部分医药控费指标已达政策标准,但资产负债率有所增长。结论 改革取得了一定的初步成效,收入补偿基本合理但仍不到位,收入结构明显优化,医药费用控制情况有所改善但并未达到理想状态。
关键词:  公立中医类医院  医药价格综合改革  效果评估
DOI:
基金项目:
Evaluation on the Effect of Comprehensive Reform of Medical Prices in Public Hospitals of Traditional Chinese Medicine in Jiangsu Province
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Abstract:
Objective To evaluate the effect of the comprehensive reform of medical prices of traditional Chinese medicine hospitals in Jiangsu Province, to provide empirical support for the effectiveness of the reform of government drug prices,and to provide suggestions for further deepening the reform. Methods Based on the effect model of Wei Tang’s public policy evaluation model,according to the comprehensive reform goal of medical price, analyzing the effect before and after the implementation of the policy. Results After the reform,the financial subsidy income,medical insurance income and service income have been increasing,the proportion of drug revenue has dropped by 3.3%,and some medical control fee indicators have reached the policy standards,but the asset liability ratio has increased. Conclusion The reform has achieved some initial results. The income compensation is basically reasonable,but still not enough. The income structure is obviously optimized. The control of medical expenses has improved,but it has not reached the ideal state.
Key words:  public hospital of traditional Chinese medicine,comprehensive reform of medical price,effect evaluation

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