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当下,“补偿机制”是公立医院改革绕不过的难题,也是业界与媒体使用最为频繁的词汇。其核心内容就是取消药品加成,将原来三个补偿渠道改为医疗服务收费和政府补助两个渠道。医保基金支付的巨额费用不属于财政拨款,但它却与服务收费息息相关,已成为医院消耗补偿的主渠道和重要来源,自然也成为健全新补偿的关键举措。医保支付与结算能否促进补偿的科学合理?能否规避政策实施与具体操作带来的负面影响?区别医疗机构与医疗服务的补偿很有必要,两者不可混淆与误读。
At present, “compensation mechanism ” is a difficult problem around the reform of public hospitals, but also the most frequently used vocabulary in the industry and the media. Its core content is to cancel the drug addition, the original three compensation channels to medical service charges and government subsidies in two channels. However, it is closely related to service charges. It has become the main channel and an important source of compensation for hospital expenditures, and it has naturally become a key measure to improve the new compensation. Whether medical insurance payment and settlement can promote the scientific and reasonable compensation? Whether can avoid the negative influence of policy implementation and specific operation? It is necessary to distinguish the compensation of medical institutions and medical services, and the two can not be confused and misunderstood.