ABSTRACT
OBJECTIVE:To provide policy selection for pharmacy service fee reform in China under New Health Reform that drug addition in public hospitals is abolished completely throughout the country. METHODS:The situation and general characteristics of pharmacy service fee reform were summarized since New Health Reform. The multi-dimension of pharmacy service fee was analyzed to define the connotation of pharmacy service fee again. The solution to pharmacy service fee and clinical pharmaceutical care fee reform were put forward. RESULTS:There were many theoretical discussions on the establishment of pharmacy service fee since New Medical Reform,but no achievements had been made in reform practice. The connotation of pharmacy service fee should be subdivided,and the"pharmacy service fee"should be used as the content of the cost compensation for the public service provided by the hospital;"clinical pharmaceutical care fee"should be set up as the cost compensation content of the professional technical service;according to the different natures of the service,the corresponding policy could be designed. CONCLUSIONS:It is suggested that"pharmacy service fee",as lump sum fee,could be solved in the dynamic adjustment of medical service price;"clinical pharmaceutical care fee"should be approved independently and included in the standard charge items according to the individual project.At the same time,local pilot is encouraged,the charge of clinical pharmaceutical care is included in the national charge catalogue,and national standards are studied and formulated. The performance management model of pharmaceutical personnel can be adjusted to promote the healthy development of pharmacy subject.
ABSTRACT
Objective To compare the work well-being among physicians between two surveys (2007 and 201 1 )performed in public hospital of Shandong province.Methods The constituent ratios and Pearson correlation coefficient of two surveys with 1 520 and 1 910 respondents were compared.Results The proportion of satisfied physicians decreased from 6.8% between the two surveys.Those approvingwork autonomy dropped 21.1%;those satisfied with their social standing dropped 9.1%,and those recognizing media coverage increased 12.3%.In year 2007,the top five issues most concerned with work satisfaction wereincome equity,embodiment of professional value,balance between income and workload,equity of academic title appraisal,andhealth reform policy (r were 0.53,0.5 1,0.52, 0.5 1,and 0.45,with P average< 0.01 ).While in year 201 1,the top five issues most concerned with work satisfaction were patient turst,medical lawsuit,income equity,health reform policy,dissension dealing(r were 0.50,0.50,0.50,0.49,0.48 ).Attention to medical reports rising the most (r from 0.04 to 0.45).Conclusion There was little positive change on physicians'work well-being before and after new health reform while physicians are bearing tiredness and high risk under high expectation and low trust.Rebuilding the patients'trust,dispersing risks of the medical profession and improving the practicing environment are the keys to motivating physicians.