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针对目前仍然存在的药品虚高定价、价格折扣率高等问题,国家计委1998年11月3日下发了《关于完善药品价格管理工作的通知》(计价格[19983 2196号].以制止药品经销中的高额折扣,减轻社会医药费的负担,同时适当放宽对科技含量高的药品利润率的限制,进一步规范药品价格秩序。 由于长期以来实行的福利医疗制度,我国医疗机构补偿机制不健全,医疗服务价格严重偏低,医疗机构收入结构极不合理,1997年全国卫生系统药品销售收入占业务收入的51％,有些城市医院药品收入占到70％以上,医院过多地依赖于药品差价收入维持运转。 药品价格混乱的原因是多方面的,要从根本上解决药品购销中秩序混乱、高额折扣的问题,必须在加强药品价格的同时,对生产、流通、医院体制进行全面改革。为此国务院决定在全国范围内进行城镇职工医疗保险制度改革,与此同时,进一步深化医药卫生体制改革,实行医药分开核算、分别管理,降低药品收入占医疗总收入比重。医院将面临着机遇与挑战。 国家在药品价格政策方面,坚决实行药品顺加作价的措施,最近国家有关药品价格批复的文件中均规定,各药品生产、批发、零售企业,和医疗单位可以低于上述规定的价格销售,但必须严格按照规定的进销差率和批零差率顺加作价,购进价格低于规定出厂价格或批发价格的,?
In response to the still existing high price of medicines and the high price discount rate, the State Development Planning Commission issued the Notice on Improving the Management of Pharmaceutical Price on November 3, 1998 (Total Price [19983 2196] Distribution in the high discount, reduce the burden of social medical expenses, while appropriate relaxation of the high technology content of the drug’s profit margins restrictions, and further regulate the order of the drug prices due to long-standing welfare medical system, the compensation mechanism of medical institutions in China is not perfect , Serious low medical service prices and very unreasonable income structure of medical institutions. In 1997, the national health system sales accounted for 51% of the total revenue. In some urban hospitals, the revenue from pharmaceuticals accounted for over 70%. The hospital relied too much on the drug spread The reasons for the chaos in drug prices are many. To fundamentally solve the problem of order disorder and high discounts in the purchase and sale of drugs, we must comprehensively reform the system of production, circulation and hospital while strengthening the prices of medicines. To this end, the State Council has decided to reform the medical insurance system for urban workers in the country. At the same time, Deepen the reform of the medical and health system, the implementation of separate accounting and management of medicine, respectively, to reduce the proportion of pharmaceutical revenue in the total medical income.Hospital will face the opportunities and challenges.In the pharmaceutical price policy, the state resolutely implement the drug along the Canadian price measures, the recent state Drugs price approval documents are provided for all pharmaceutical production, wholesale, retail enterprises, and medical units can be lower than the above-mentioned sales price, but must be strictly in accordance with the provisions of the wholesale and retail sales rate and margin plus margin plus price, purchase Price is lower than the specified ex-factory price or wholesale price,?