Appraisal Of Medical Service Price Reform Policy Effect In Xinjiang

Objective: This topic through analysis public universal attention's medical expense question, in order to appraisal the new medical service price policy effect after 2004, analysis the primary factors affected the Xinjiang medical service price structure and research the subject matter which existed in the current medical service price, as well as the primary causes which caused the question. Methods: Take the Xinjiang area 10 General hospital as the object, uses the review investigation and the present situation investigation method to analysis the hospitals'revenue?expenditure condition and the medical personnel?the patient both sides degree of satisfaction. The study method is visual analogue scals(VAS), the Logistic regression and so on. Results: After the price adjustment, the total hospital income is quantity change but the income structural has big change, service cost's large rise not only filled the the loss of drug income's drop but also led the hospital income further growth, causes the hospital income total quantity does not fall instead rises; Compare with two level of hospital, policy is big influences to three level of hospital in the same time; Compare the outpatient service income and in hospital income ,the outpatient service drugs income's drop is more obvious than in hospital drugs revenue, but operation fee presented the great scope growth after carrying on the pack charge in hospital; The hospital questionnaire survey's result showed that after price adjustment, what the medical personnel more pay attention to the outpatient service income and in hospital income, what but the patient is more pays attention to the inspection and the drugs expense. Conclusions: 1) The new medical service price has implemented in xinjing since 2005, reversed the past main income channel in disguised form, straightened out the hospital management compensation mechanism, causes the hospital the primary business income from the drugs reverse service, manifests the respect medical personnel's service value, enhances compensation which the service pays. 2) The hospital gross income maintained basic stable, between the administrative offices the income structure obtained the adjustment, the large-scale equipment, the examination inspection expense, the material increase price the decline causes the medical service charge to conform to the law of value scientifically. 3) Policy relative person's overall degree of satisfaction still permissible, further tune-up inspection and the drugs income are imminent. 4) Increases the reform propaganda dynamics, establishes the perfect medical service supervising mechanism, solves the reform, after properly appears the derivation question, forms the Medical establishment interior expense control, the responsibility restraint driving mechanism to achieve the price reform policy truly the true effect.