RESUMO
This study reviewed the history and major issues of the reimbursement system reform on public hospitals in China,and analyzed the impact mechanism of specific reform approaches including price adjustment of health service and government special appropriation on the health care services provided by hospitals using qualitative analysis methods.This study has the following findings:if the public hospital is allowed to operate independently,the compensation by health service price adjustment will encourage hospitals to increase their service provision;the compensation method of government special appropriation will decrease the amount of service,and probably cut back the amount of drugs sold;with both reforms combined,hospitals will be encouraged to increase their medical service provision to make up for the revenue lost caused by canceling drug mark-ups.Finally,there were several policy suggestions.
RESUMO
OBJECTIVE:To discuss the impact of the separation of dispensary for outpatients from hospital on patients,hospital and its staff.METHODS:The impact of the separation of dispensary for outpatients from hospital were discussed from aspects of hospital reimbursement mechanism of medical funds,medicine flow links,function of pharmaceutical care,patient's rights on drug choice et al.RESULTS & CONCLUSIONS:In view of current unsound reimbursement mechanism,the high drug price was resulted from multiple medicine flow links and irrational pricing of drugs.Blindly separation of dispensary for outpatients from hospital would lead to supervision vacancy of dispensary for outpatients,loss of function of pharmaceutical care,furthermore,patients would not be benefited form the step,and unhealthy tendency(rebate)would be hard to wipe out,more importantly,it would affect the sustainable development of hospital.