药品加成政策自1954年开始在全国医院实施,至2009年提出逐步取消药品加成政策。对湖北省20个县级公立医院改革试点医院2012年6月之前的基本情况和改革进展进行了调查和评估,并对2012年取消药品加成后试点医院药品收入损失进行测算。在调研、评估和学术研究的基础上,以调整医疗服务价格为主和以政府补偿为辅的原则,制定湖北省取消药品加成政策,提出弥补试点医院因为取消药品加成后收入缺口的医疗服务价格调整办法。
Drug price plus policy had been in place at public hospitals since 1954 and began to phase out since 2009. Hubei province studied the profile and reform progress of 20 pilot county public hospitals before June 2012, and measured the drug income loss incurred by abolishment of this policy since 2012. It is recommended that the reform to abolish drug price plus policy in the province be made based on investigation, evaluation and academic research, prioritizing medical service pricing adjustment aided by government compensation. The authors proposed a new approach of medical service pricing to make up for the revenue gap caused by the abolishment.