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浅谈公立医院经济与道义自我损害的二元困境 预览

Discussion on dual dilemma between economic and moral self- harm in public hospitals
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摘要 “健康中国”战略背景下的医疗卫生服务体系改革重心从需求侧转向供给侧,公立医院深化改革是医疗卫生服务体系供给侧改革取得成功的关键。在探究公立医院深化改革向非预期方向发展内部规律时发现公立医院存在经济自残与道义自残的风险。本文系统介绍了公立医院经济自残与道义自残的内涵特征、经济自残与道义自残二元困境的内涵特征及形成机理,并从创收逐利供给行为、医疗费用控制、取消药品加成政策、实施临床路径管理四个方面阐述公立医院经济自残与道义自残的二元困境现实表现。 Under the background of "Healthy China" strategy, the reform of medical and health service system has shifted its fo. cus from the demand side to the supply side. Deepening the reform of public hospitals is the key to the success of the supply-side reform of the medical and health service system. It is found that there are risk factors of economic self-harm and moral self-harm in public hos. pitals when exploring the internal regulations of the deepening reform of public hospitals in an unexpected direction. This article system. atically introduces the connotation characteristics of economic self-harm and moral self-harm in public hospitals, and the connotation characteristics and formation mechanism of the dual dilemma of economic self-harm and moral self-harm in public hospitals. It also ex. pounds the realistic manifestations of the dual dilemma from four aspects, including revenue-seeking supply behavior, medical cost con. trol, cancellation of drug addition policy, and implementation of clinical pathway management.
作者 谭华伟 张培林 刘宪 颜维华 Tan Huawei;Zhang Peilin;Liu Xian(Chongqing Hospital Cost Management Research Center, Chongqing 400700, China)
出处 《医院与医学》 2019年第1期20-24,共5页 Hospital and Medicine
关键词 公立医院 经济自残 道义自残 内在机理 现实表现 Public hospitals Economic self-harm Moral self-harm Internal mechanism Reality performance
作者简介 通讯作者:张培林,教授,主任医师,研究方向:医院经济管理、卫生支出效果评价、公立医院改革研究.
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