Deepening The Reform Of Public Hospitals At The County Level-to Get Rid Of Drugs Make Health Research Problems

Objective: Through the investigation of county level hospitals in Chongqing in the compensation mechanism, medical insurance system, hospital income and financial subsidies, especially the current situation of drug income and other aspects of the analysis, the proportion of drug expenditures. Reference the domestic health care reform experience in management system, corporate governance, summarize experience and lessons, specific situation in Chongqing City, proposed to get rid of yaobu, establish reasonable sustainable compensation mechanism and suggestions on perfecting the reform of public hospitals at the county of Chongqing, for the relevant government department decision-making provide scientific basis.Methods: 1. Check the related literature, documentation, deepening the reform of public hospitals in the county for the state and the city of Chongqing related work, how to get rid of to the overall situation of yaobu problem and compensation mechanism to literature research. 2. Design the operation conditions of the hospital data collection scale, field collected Dianjiang County public hospital income and expenditure data; interviews with hospital management personnel, medical personnel, government administrative personnel of health people to "get rid of drugs to support medical views and suggestions.Results: 1. public hospital reform has made some achievements: drug income accounted for total revenue of public hospitals proportion showed a downward trend; initially clarify the reform of public hospitals at the county level; form the public hospital compensation and compensation methods; practiced medicine zero interest rates, in a certain extent reduced light people’s economic burden of disease; payment method, single disease payment execution; perfect public hospital compensation mechanism, financial subsidy income increased.2. The existence of the problem: Drug income accounted for the proportion of the total income of the hospital is still high, drug cost is higher, a tendency to increase year by year; cancel addition of medicines and chemical reagents, drugs according to the purchase price, the implementation of zero slip sales, but not decline; there was no significant increase in financial investment, cannot be fully compensated public hospitals, to yaobu phenomenon has not been fundamentally torsion.3. Chongqing city in 2013 compared to 2012 each outpatient service medicine costs per bed fee, the average daily cost of medicine fees and medical expenses of patients discharged medicine fees were increased by 16.33%, 9.20%, 8.96%. The people’s Hospital of Dianjiang County in 2012, 2013 Chinese medicine hospital income goods income ratio was 36.7%, 35.1%, 34.3%; 34.8% Hospital of traditional Chinese medicine. 2014 health and family planning institutions, outpatient and inpatient per capita medical expenses were 159.9 yuan, 5343.9 yuan; Dianjiang county hospital outpatient, inpatient per capita medical expenses were 180.2 yuan, 6891.9 yuan.Conclusion: After the implementation of health care reform, the proportion of drug income decreased year by year, but still accounted for a relatively large total income in the hospital. The reform of compensation mechanism is the most important of the reform of public hospitals at the county level. Public hospitals at the county level shall strengthen supervision and establish scientific adjustment of medical service price standard, "to the effective mechanism of yaobu" transition to support medical technology. In order to ensure the quality of public hospitals and improve the service efficiency of medical services, the government needs to develop scientific compensation scope and methods.