【摘要】 物价部门长期坚持的降价和限价政策,背离了医疗服务成本,与宏观改革环境和财政职能调整不配套,造就了畸形的医疗服务收费标准,改革中经济尤其是GDP增长优先的现实,客观上忽视了对医疗服务行业发展导向的把握,致使多设高新服务项目、多做检查、多开药等,成为医疗机构应对财政资金自筹政策采用的不二法宝,拉动了医疗费用的畸形增长,导致看病贵等问题成为现实。改革医院的支付方式,变目前物价部门控制的按项目收费为“总额预算+按服务单元(人头费、病种)”,是短期内解决看病贵等问题,达成医疗、医药、医保三项改革目标的必由之路。更多还原

【Abstract】 The policies of price cutting and fixing that price department always persisted in differed from the environment of macroeeonomic reform and the adjustment fiscal function.They deviated from the cost of the medical services,and resulted in an abnormality in the charge standard of medical services.The growth of economy especially GDP ignored the orientation of medical services development.And it induced the hospitals to set up more high-tech or new services,do more inspections,and overdose,etc,which became the main method for hospitals to reply the self- financing policy.And it stimulated the abnormal growth of medical expenses,which brought up to the problems such as overly expensive medical services.It is the only way to solve the problems and to reach the goal of medical,phar- maceutical,and medical insurance reform in a short term that reform the presently payment mode by items,to that by“global budgets & fee-for-service (personnel expenditures,DRGs)”.更多还原