目的:分析中医医院总体运营及中医药特色服务经营情况,探讨新医改对中医药特色服务补偿机制的影响,并提出政策建议。方法:文献分析法、系统分析法和敏感性分析。结果:政府对中医医院补偿比例偏低,中医医院运营困难,中药饮片加成率居高不下,药事服务费的合理收取势在必行。结论:建议科学测算成本,合理确定中药饮片加成率;增加中医医院补偿渠道;合理收取中药饮片药事服务费,可由新农合适当补偿。
Objective: To analyze the overall operation status of traditional Chinese medicine Hospitals and traditional Chinese medicine characteristic services, discuss the influence of the new medical reform on reimbursement mechanism for traditional Chinese medicine characteristic services and make policy recommendations. Methods: Literature analysis, systematic analysis and sensitivity analysis. Results: The reimbursement level of government was low, the traditional Chinese medicine hospitals were hard to run; the add rate of Chinese herbal pieces was fairly high and it was urgent to charge pharmaceutical service fees rationally. Conclusion: It is suggested to measure the cost scientifically and confirm the add rate of Chinese herbal pieces reasonably; increase the reimbursement ways of traditional Chinese medicine hospitals; charge pharmaceutical service fees rationally which could he compensated properly by new rural cooperative medical system.