Study On The Management Of Public Hospital Medical Service Prices Based On The New Medical Reform

In the field of medical service in our country, there are goods, chemicals medical raw materials, etc., and paid the exchange relationship of supply and demand on medical technology services, medical services market was the result. In this market, the public hospital is the main body, which providing the medical service is a special kind of "commodity’Medical reform, the full name of medical health system reform, it is a system engineering, involves the reform of public hospitals, medical care system reform, medical insurance management system reform, and so on. In March2009,"The central committee of the communist party of China, the opinions of the state council on deepening the reform of medical health system" opened for a new round of reform, after that, there are three files "The opinion of the reform of the pharmaceutical and medical services price formation mechanism"、"Guidance on the pilot reform of public hospitals","Twelfth Five Year Plan period of deepening medical and health system reform and the implementation of planning" Successively promulgated, which designed for the reform of public hospitals "road map", and puts forward policy Suggestions on management of medical service pricesThe difficulties and the core of the reform is the reform of public hospitals, the medical service price management is the key of the reform of public hospitals. For many years, the public hospital medical service prices according to the project fee,"national pipe project, local prices," the national standard medical services, prices drawn up by the health or commodity price department at the provincial level government price can’t truthfully reflect the labor value and technical value of the medical staff. By2000, no unified and standardized service fees, and there was no cost calculation method of science. Government shall exercise macro-regulations and control over the medical service price, although has certain rationality and necessity but also increasingly exposed some problems. The particularity of medical service, monopoly, information asymmetry, both doctors and patients, determines the medical service price is not fully formed from the market. In the face of new medical reform, how the government macro management and to seek balance market pricing mechanism, establish and improve price management system to adapt to the market of medical services, appear very necessary.This article regards as the public hospital medical service the public goods, analyzed the influence of the prices of medical service in public hospital factors and pricing principles, expounds the present situation and problems of the medical service price management, think the market failure and government failure exists at the same time the price formation mechanism, the experience of medical service price regulation in foreign countries, puts forward the idea of public hospital medical service price management in new medical reform. The public hospital in the government for macro management of medical service prices, study of the mechanism and the medical service cost of medical service price to find a breakthrough medical service price, compensation, the establishment of medical service price adjustment mechanism, strengthen the interpretation and analysis of policy, strengthen the hospital cost accounting and management, to ensure the healthy and sustainable development of a hospital.