论文部分内容阅读
以我国东部地区某省为例,借鉴“医院补偿机制恶性循环和资源最优利用模型定量论证方法”等,利用全国卫生财务年报资料等常规统计数据,定量模拟后发现:东部地区某省财政补助萎缩依然存在,18年来财政投入累计缺口156.9亿元,为弥补来自财政投入净收入的缺口,物价严控的低收费策略下,医疗机构“多做点检查、多开点药”行为普遍,造成医疗费用增加632.2～1 320.5亿元,卫生资源浪费475.3～1163.7亿元,导致高达34%以上的医疗费用增长无法合理解释,财政和物价对其承担61.1%～98.9%的责任。可见,东部地区某省医疗机构扭曲的补偿机制依然存在。
Take a province in the eastern part of our country as an example, draw on the “statistical analysis of the vicious cycle of hospital compensation mechanism and optimal utilization of resources model” and other conventional statistical data, such as the National Health Financial Annual Report. After quantitative simulation, it is found that in some provinces in the eastern region Financial subsidies shrinking still exists, 18 years, the total investment of 15.69 billion yuan deficit, in order to make up for the lack of financial input from the net income gap, the price control of low-fee strategy, the medical institutions to “do more checks, more medicine” The behavior is universal, resulting in an increase of 632.2-1202.05 billion yuan of medical expenses and a waste of 475.3-166.3 billion yuan of health resources. As a result, up to 34% of the medical expenses can not be reasonably explained. The financial and commodity prices bear the responsibility of 61.1% -98.9%. Can be seen that the distorted compensation mechanism for medical institutions in some provinces in the eastern region still exists.