以药补医被社会、政府和百姓认为是医院的罪恶之源。城市公立医院改革避不开药物、价格、采购等方面的问题,这些问题都是医改深水区的难题,而相比县级公立医院,城市公立医院体量更大,情况更复杂,补偿也更困难。在城市公立医院尚未实行药品零差率销售的时候,医院能否合理运用市场规律,在当前政策框架内找到一条医院运行成本平移的路径?近年来,有医院进行了一些有益的尝试。比如,通过院里库存的经营权剥离,实现医院耗材成本的降低,但事 Medicine to make medicine by the society, government and people think that the hospital is the source of evil. Urban public hospital reform can not avoid drug, price, procurement and other issues, these are the problems of medical reform Sham Shui Po, and compared to the county-level public hospitals, urban public hospitals larger body, the situation is more complex, more compensation difficult. In the city public hospitals have not yet implemented zero-slip drug sales, the hospital can use the law of the market, the hospital within the framework of the current policy to find a shift in the operating costs? In recent years, some hospitals have done some useful attempts. For example, through the hospital stock rights management stripping, to achieve lower hospital supplies costs, but things