药养

以药养医政策的助推作用。

The boosting effect of the " supporting medicine with drugs " policy .

解决以药养医的核心问题即是医药分开。

The core of soluting doctors depend on medicine problem is to separate doctor with medicine .

医疗服务价格管制与以药养医

Price Controls of Health Service and the System of Underpaid Doctors Compensated by the Excessive Medical Expense

在我国以药养医的特殊医疗体制下，为了处方药的销售，除了最终消费者，各环节都希望抬高药价。

Against our special background of the medical care system , each one hopes to make benefit depending on raise prescribed drug price except consumers .

本文以以药养医政策形成的制度背景为基础，建立了线性激励模型和多部门监督模型分析政府和医院之间的委托代理关系，指出药品加成率过高、监管高度重叠的问题。

In this paper , Linear Stimulation Model and Multi-sectoral Supervisory Model are established to analyze the principal-agent relationship between the government and public hospitals .

药品流通的主要问题在于，一方面我国以药养医的医疗卫生体制没有得到根本解决，医疗机构成为药品消费的主要渠道，形成了药品流通的畸形格局。

First , the " Medicine feeds doctor " system still exists and the medical institutions strangely become the major places of people 's medicine consumption .

尽管目前尚未采取行动，卫生保健工作者和公共卫生专家普遍相信，以药养医的模式可能会改变。

Although nothing has yet been put into action , healthcare workers and public health advisors widely believe that hospitals'reliance on drug sales can be changed .

药品费用仍然快速增长，医药产业结构不合理与失衡，以药养医等现象依然存在。

Drug costs still rapid growth , the pharmaceutical industry structure is not reasonable and the imbalances ," to drugs to support medical " phenomenon still exist .

结合新医改，落实国家基本药物制度，消除以药养医现象。

Secondly , in light of the new health reform , national essential drug systems should be implemented for eliminating the phenomenon of sustaining medicine with drug .

针对我国当前仍然存在的以药养医的现状，公众积累了很多不满。

In view of our country current is still " to drugs to support medical " situation , the accumulation of a lot of dissatisfaction with the public .

医院的收费补偿机制存在着不合理的地方，即医院通过药品的消耗来进行补偿，医院以药养医的现象仍然继续存在。

The hospital charge compensation mechanism exists not reasonable place , namely the hospital through drug consumption to compensate , hospital " medicine raise medical " phenomenon still continue to exist .

而对以药养医体制进行改革，实施医药分开，早在9年前的国务院文件上就已明确提出来了。

And reform " to drug dependent medical " system , the implementation of " separate ", as early as 9 years ago , the State Council , the document had clearly come .

本文分析了以药养医的深层机理，认为医院内部的行政主导和分配制度从根本上造成了药价虚高，患者负担加重。

Analyzing the internal mechanism of the drug-maintaining-medicine , the authors considered that the administration-dominating and the distribution system in the hospital resulted in expensive drug price and heavy burden on the patient .

从长期来看，使得医院过分依赖于以药养医，不利于医患关系的健康发展，更加不利于医院核心竞争力的培育。

However , in the long run , the hospital relies on medicine sales excessively under asymmetry information , which is not helpful of developing health hospital patient relationship and cultivating hospital core competence .

到周朝，人们对饮食已相当讲究，以“五味、五谷、五药养其病”把饮食五味、五谷和药物结合起来。

To the Zhou dynasty , there has been considerable attention to the diet in order to " Gomi , grains , five of its drug dependent disease " put diet flavors , grains and drug combination .

本文就我国医疗保险相关的最重要的医药流通制度、药品定价制度和以药养医制度同医疗保险制度的历史演进做了分析。

In this paper , the medical insurance is the most important medicine circulation system . Drug pricing system , and " support to drug treatment ," with the medical insurance system in the history of the evolution of the analysis .

另外，公立医院欠缺公益性，过度追求经济效益，以药养医，致使看病难、看病贵现象加剧。

Besides , the public hospital is currently lack of public welfare , excessively seeking economical efficiency , and feeding the hospital with medical charges , which result in the phenomenon that it is difficult and expensive to see a doctor intensified .

因此，当务之急是实行医药分离，尽快克服以药养医的弊端，完善医疗补偿机制，打破医疗机构的垄断地位，引入竞争机制，这样才能把医药流通企业从对于渠道的依赖中解放出来。

So it is imperative to dissociate hospital pharmacy from medical treatment and improve the medical compensation system , breaking the monopoly of medical institutions . Only in this way can the pharmaceutical distribution companies be released from the dependence on the channels .

近几年来，医疗机构以药养医的现象十分普遍，造成了极其严重的后果，已成为当前医药卫生体制改革迫切需要解决的问题之一。

In recent years , " Drugs to Support Hospitals " has been very common in medical institutions , resulting in extremely serious consequences . It has become one of the issues that urgently need to be solved in reforming present medical and health system .

同时，我省公立医院的生存和发展也面临了很多的困难，财政补偿逐年减少，医院的成本却随着市场经济的发展逐年增高，由此以药养医的现象应运而生。

At the same time , the survival and development of public hospitals are facing a lot of difficulties , financial compensation reduces , the cost of hospital increase with the development of market economy every year , " hospitals are living on medical pills " appeared .

医院改革存在以药养医、医患关系商品化、医疗体制改革产业化三个误区，导致了医疗费用过快增长、医患关系紧张。

In the last 25 years the hospital reformation has been stepping into three mistaken areas , i.e. , Supporting the medical treatment / hospital by medicine , the relationship between medical care provider and patient is commercialized , and reformation of medical care system is industrialized .

研究结果显示：政府对农村基层医疗卫生机构的投入普遍不高。以药养医的现象依然严重；处方中的不合理用药情况表现多样性，联合用药情况较为普遍。

It is demonstrated that government input in rural grass-roots medical and health institutions is generally not very enough , and that the phenomenon of sustaining medical with drug is still serious , and that prescription of unreasonable usage of diversity and joint drug usage is much prevalent .

结果表明，补血方药、圣逾汤、八珍汤、十全大补汤、养容汤这五种补气养血方药除了养容汤的剂量组Ⅰ外其余对环磷酰胺诱发的微核均有抑制作用。

The result shows that five kinds of prescriptions of supplementing Qi and Nourishing blood have the effect of inhibitation on MN induced by CPP .