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利用我国历年卫生统计年鉴提供的数据,采用率比分析方法,从机构、项目和资源结构分布描述我国医疗费用的使用现状,发现我国医疗服务主要由综合性医院和公立机构提供;医疗机构补偿则严重依赖药品、检查和财政补贴,探索了这种交叉补贴方式引起“看病难、看病贵”的机理,认为要完善补偿机制,发挥医疗保险第三方的监管作用是重要措施,改善和增加财政投入,发挥政府调控作用是重要保证,促进医疗传递系统分工协调,改变医患双方医疗行为,改善服务提供是根本途径。
Based on the data provided by China Health Statistics Yearbook, we use rate-ratio analysis to describe the current situation of medical expenses in our country from the distribution of institutions, projects and resources, and find that the medical services in our country are mainly provided by general hospitals and public institutions. It relies heavily on medicine, inspection and financial subsidies and explores the mechanism of this cross-subsidization, which causes “difficulty in seeing a doctor and expensive doctor”, and thinks that it is an important measure to improve and supplement the compensation mechanism and to supervise the third party of medical insurance. Financial input, to play the role of government regulation and control is an important guarantee, to promote the coordination of the division of labor in the medical delivery system, change the medical behavior of both doctors and patients, improve service delivery is the fundamental way.