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本文从分析县级医院收支状况入手,比较研究了中医院医疗服务亏损状况和弥补这一亏损的方法。发现中医院的医疗服务亏损,尤其是经营性亏损更为严重,因此,更大程度地走上提高次均就诊费用以增加收入的发展道路,其中隐含着下列危机:(1)过分依赖药品费收入和国家拨款;(2)助长了卫生资源浪费和加重患者经济负担;(3)医院经营恶性循环明显;(4)群众指责增加;(5)这种发展趋势本身是一条令人担忧的医院发展途径。在卫生系统面临政策性亏损的巨大压力之时,普设中医院导致了卫生资源的紧张和利用率下降,综合考察中医院的其它不是,文章认为普建中医院政策值得反思。在增加国家拨款和调整医疗服务价格难以成行之时,鉴于各级医院对药品费收入的依赖性,将医药机构合归卫生系统统筹调配,是缓解医院贫困局面,减轻医院不合理补偿趋势的有效措施。
This article starts with analysing the income and expenditure situation of county-level hospitals, and compares the loss of medical services in TCM hospitals and the ways to make up for this loss. It was found that the loss of medical services in TCM hospitals, especially operating losses, was even more severe. As a result, it took a greater degree of development on the path of increasing the cost per visit to increase revenue, which implied the following crisis: (1) Over-reliance on drugs Fee income and state funding; (2) contributed to the waste of health resources and aggravated the economic burden on patients; (3) the vicious circle of hospital operations is obvious; (4) the public accusations increase; (5) this development trend itself is a worrying Hospital development approach. When the health system faced tremendous pressure of policy losses, the establishment of a Chinese hospital led to a shortage of health resources and a decrease in the utilization rate. The comprehensive inspection of other hospitals was not. When increasing national funding and adjusting medical service prices are difficult to achieve, given the dependence of hospitals at all levels on the income of medical expenses, the overall deployment of medical institutions to the health system is an effective way to alleviate the poverty situation in hospitals and reduce the unreasonable compensation trends in hospitals. Measures.