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医疗机构药品流通成本体系的重构,是实现新医改政策“看病难、看病贵”目标有效途径之一。基于药品生产流通成本、医疗机构流通成本和药品价格规制等分析,本文就医师知识成本在基本药物零差率和药事服务费等方案中的关键性问题,针对药品流通成本的一揽子分配方案,提出推行医疗机药品流通作业成本法(ABC法)的改进方案。
The reconstruction of the drug circulation cost system in medical institutions is one of the effective ways to achieve the goal of a new medical reform policy of “seeing a doctor hard and seeing a doctor.” Based on the analysis of drug production and distribution costs, the circulation costs of medical institutions and the regulation of drug prices, this paper discusses the key issues of the doctor’s knowledge cost in such programs as zero drug-free rate of basic drugs and drug service fees, a package distribution scheme for drug distribution costs, Put forward the implementation of medical machine circulation of medicine operating cost method (ABC method) improvement program.