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目的:对2013年第一批实施公立医院医药价格综合改革的15个县(市、区)改革情况进行总结,提出城市公立医院医药价格综合改革的建议。方法:根据江苏省县级公立医院医药价格综合改革政策,构建改革效果评价指标体系,收集第一批实施改革的28所县级公立医院经济运行指标、价格调整情况指标、费用变化指标数据,对改革前后数据变化情况进行分析。结果与结论:改革取得的基本成效是运行总体平稳,费用增长得到适度控制;存在的主要问题包括财政补偿落实不到位、价格调整未完全到位、价格引导作用未充分发挥;建议城市公立医院医药价格改革要进一步完善医疗服务价格政策、落实政府投入责任、协同推进相关改革。
OBJECTIVE: To summarize the reform of the first batch of 15 counties (cities and districts) that implemented the comprehensive reform of public hospitals’ medical prices in 2013, and put forward the suggestions on the comprehensive reform of medical prices in urban public hospitals. Methods: According to the policy of comprehensive reform of medical prices in public hospitals at county level in Jiangsu Province, the index system of evaluation of reform effect was constructed and the data of economic operation, price adjustment and cost change of the first batch of public hospitals operating at county level were collected. Data changes before and after the reform were analyzed. RESULTS AND CONCLUSION: The basic results obtained by the reform are that the overall operation is stable and the cost growth is moderately controlled. The main problems include the implementation of the fiscal compensation is not in place, the price adjustment is not fully put in place and the role of price guidance is not fully developed, and the price of medical public hospital The reform should further improve the medical service price policy, implement the government’s responsibility, and jointly promote the relevant reforms.