Research On The Compensation Mechanism Of Shanghai Public Hospital

Recently, health care reform in Shanghai has become the hot topic of public hospital reform. North hospital of Huashan Hospital, north hospital of Ruijin Hospital, south hospital of Renji Hospital and east hospital of Sixth People’s Hospital are the first batch to carry out pilot reform of abolishing drugs addition policy. Meanwhile, they adjust the price of medical service item reasonably and conduct the "drug-maintaining-medicine" mechanism according to the unified deployment of Shanghai’s health care reform. Over the years, the compensation channels in public hospitals mainly include three parts:government investment, drug price addition and medical services fees. Our country continuously reduces the financial investment in medical and health services and adopts the price limit policy of pricing at low cost on medical service charge. In order to maintain hospital’s normal, operation, improve service level and expand its scale, public hospitals have to rely on drugs addition revenue to compensate for expenses. With the gradual popularization of abolishing drugs addition policy in Shanghai’s health care reform, hospital’s daily capital turnover becomes more and more difficult. Therefore, hospital compensation mechanism reform is of great significance to advancing medical-sanitary system reform.With the theories of hospital administration, the paper adopts methods of theoretical analysis, comparative study and combining qualitative analysis with quantitative analysis to analyze the problems existing in current compensation mechanism in public hospital such as insufficient government investment, risk of capital recovery and the single compensation channel after abolishing drugs addition. At last, this paper proposes solutions from perspectives of efforts and methods of financial aid and perfecting medical service price mechanism.