中文摘要：

目的：剖析“以药养医”的传统医药价格体系及其影响。探索变革“以药养医”体制的途径。为县医院改革提供借鉴。方法：综合运用了文献分析、政策分析、专家咨询和知情人士访谈等方法。结果：传统医药价格体系扭曲表现在医务人员劳动成本过低、药品和材料价格扭曲、大型医疗设备检查和固定资产折旧价格扭曲等方面，破除以药养医、调整医药服务价格体系是县公立医院改革的关键。结论：需取消政府价格管制、增药事服务费、改革医务人员薪酬体制、改革支付方式、变革药品管理方式和收支两条线等措施相互配合才能有效补偿县医院，在推进其发展进步的基础上解决看病贵问题。

英文摘要：

Objective： To analyze the traditional drug price system of ＂Feed the hospital with drug charges＂ and its influence, explore the pathway to reform this system and provide reference for county hospital reform. Methods： Combining the methods, such as the literature analysis, policy analysis, expert consultation and interview with related people. Results： Traditional drug price system resulted into distorted performance, including the cost of medical staff labor is too low, the price of medicine and material, large medical equipment inspection, and unreasonable fixed assets depreciation price distortion. So reform drug price system is the key to the county public hospital reform. Conclusion： It is suggested to cancel the government price control, increase the drug service charges, reform the medical staff salary system and the payment style, change the way of drug management, implement the policy of ＂Two lines of income and expenditure＂ etc and cooperate with each other to be effective compensation county hospital, on the basis of this development progress, so as to solve the problem of ＂ too expensive to see a doctor＂.