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近年来,由于医药费用的过快增长,已是卫生系统和社会各界关心的热点和焦点问题,“谈药变色”使很多患者望院生畏。如何有效地扼制医药费用的涨势,合理调整医疗收费结构,已经成为各界政府关注的问题。1995年10月底,大连市率先在全国开展了医药费“总量控制,结构调整”改革,经过一段时间的运转,已明显地收到了社会效益和经济效益,有效地抑制了医药费的涨势,使政府、社会、患者、医院、职工比较满意,初步显示出改革的成效。 一、具体作法 “总量控制,结构调整”顾名思义就是对医疗机构医疗费总体增长水平进行控制(总体控制在15％,药费收入增长速度年度内不得突破5％),同时,调整医药费的收费结构,通过提高部分技术劳务收费比重,降低药品收入占总收入的比例。经过三年努力,使大连市药品收入占总收入从70.6％降为55％。控制“三不合理”现
In recent years, due to the rapid growth of medical expenses, it has become a hot issue and a focus issue of concern to the health system and various sectors of the community. The discoloration of drugs has put many patients at daunting. How to effectively curb the rising medical expenses and reasonably adjust the medical fee structure have become the concerns of all the governments. At the end of October 1995, Dalian took the lead in carrying out the reform of “total amount control and structural adjustment” of medical expenses throughout the country. After a period of operation, it has obviously received social and economic benefits, effectively suppressing the rising medical expenses So that the government, society, patients, hospitals and workers are more satisfied with the initial results of the reform. First, the specific practice of “total control, structural adjustment,” the name suggests is to control the overall level of medical institutions to increase the cost of medical expenses (15% of overall control, drug revenue growth rate of not exceeding 5% during the year), while adjusting the medical fee Structure, and reduce the proportion of medicine income in the total income by raising the proportion of fees for some technical services. After three years of hard work, the total revenue of pharmaceutical products in Dalian has dropped from 70.6% to 55%. Control “three unreasonable” now