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近几年来,我国的医疗费用一直呈过快增长的趋势,成为社会普遍关注的问题。为了能更好地贯彻卫生工作方针,保障人民的身体健康,推动我国经济社会的发展,有必要对医疗费用上涨的原因作一剖析,提出相应的对策。 一、原因 (一)长期以来,没有真正反映医疗成本和医务人员的劳务价值,造成医疗收费标准偏低。虽然对明显偏低的医疗项目的收费标准也作过一些调整,但由于原来基数太低,调整的幅度各不相同,不少医疗项目的收费标准和医疗成本之间存在着差距,加之国家财政对医疗卫生单位的补贴不足,迫使医院要靠自己创收来维持生存和发展。在这种情况下,多开药、滥用药、开贵重药等不合理现象日趋严重,增加了医疗费用。
In recent years, the medical expenses in our country have been showing an excessively rapid growth trend and have become a common concern in society. In order to better implement the principles of health work, safeguard the health of the people, and promote economic and social development in our country, it is necessary to analyze the causes of rising medical costs and propose corresponding countermeasures. I. Reasons (1) For a long time, the medical cost and the labor value of medical personnel have not been truly reflected, resulting in a low medical charge standard. Although some adjustments have been made to the charging standards for medical items that are significantly lower, the scale of adjustment is not the same because the original base number is too low. There is a gap between the fees and medical costs for many medical items, plus the national finances. The lack of subsidies for medical and health units forced the hospital to rely on its own income to maintain its survival and development. Under such circumstances, the irrational phenomenon of more drugs, drug abuse, and expensive drugs are becoming more and more serious, which increases medical expenses.