After the progressive reduction or cancel of the drug price addition rate, the construction of compensation policy model for stated-owned specialized hospital was studied in the paper. Eight types of the compensation policy models for stated-owned specialized hospital, which based on different combinations of compensations, such as government subsidy, pharmaceutical service fees increase and medical service prices adjustment, in the light of the economic operation conditions of 23 stated-owned specialized hospitals in Zhejiang province between the year of 2007 and 2009, were set up. The government subsidy per standard work load was the highest and the lowest in the new policy model of type HI and type IV, which was 31.76 Yuan and 8.57 Yuan per man-time for relatively safety, 33.21 Yuan and 12.91 Yuan per man-time for safety, respectively. The different compensation policy models should be adopted according to actual situations of different categories of stated-owned specialized hospital. It was imperative to establish the long acting government financial support mechanism.%对逐步降低或取消药品加成率后公立专科医院补偿模式进行了探讨,根据政府财政补助、增设药事服务费及医疗服务价格调整等不同补偿途径组合,结合浙江省23家公立专科医院2007-2009年经济运行状况,构建了8种公立专科医院补偿政策模型.结果表明,政府财政均次标准工作量补助以新政策模型Ⅲ为最高(比较安全与安全下分别为31.76元,人次、33.21元/人次),以新政策模型Ⅳ为最低(8.57元/人次与12.91元/人次),认为应根据不同类别公立专科医院的实际情况区别对待,尝试不同分类补偿政策模型,重点要建立政府长效财政保障机制.
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