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公立医院药房改革的目的是破除以药补医。这里的以药补医有两层含义:一方面是指以药品加成收入补助医院医疗收入亏损;另一方面是以药品回扣方式暗中补偿医师收入。对应的,破除以药补医也有两层含义。第一,公立医院的药品加成收入是医疗机构收入的主要来源,改革目标就是要取消占比达40%以上的药品加成收入,改革手段有提高财政补助投入、提高诊疗收入。第二,切断医药利益联系,即阻断医师开大处方以获取回扣的利益驱动,
The purpose of the public hospital pharmacy reform is to get rid of medicine for doctors. Medication here has two meanings: on the one hand refers to the drug income supplement subsidies hospital medical income loss; on the other hand is a drug rebate secretly compensate the doctor’s income. Corresponding, to get rid of medicine also has two meanings. First, the revenue from drug additions in public hospitals is the main source of income for medical institutions. The goal of the reform is to eliminate the drug addition income that accounts for more than 40% of the total. The reform measures include increasing the subsidies for financial subsidies and increasing the income from medical treatment. Second, to cut off the links between the interests of the pharmaceuticals, that is, to block the doctors’