医药分开核算、分别管理对乡镇卫生院防保功能落实的影响分析  

An analysis on impact to preventive function of township hospitals under the new health policy

作　　者：王志锋[1] 张黎明 马安宁[3] 冀春亮[3] 罗力[1] 张勇[1] 姜晓朋[1] 章滨云[1] 李鹏翔[1] 吴延风[1] 王小宁[4] 郝模[1] 

机构地区：[1]复旦大学公共卫生学院,200032 [2]上海市嘉定区卫生局,201800 [3]山东省潍坊市卫生局,261000 [4]江苏省常州市卫生局,213003

出　　处：《中国卫生资源》2001年第3期108-111,共4页Chinese Health Resources

摘　　要：在论证了乡镇卫生院对药品收入有较强依赖性的基础上 ,该文从不同的角度分析了药品收入与防保工作之间的关系 ,发现“以药养防”和“重药轻防”状况确实存在。现阶段如果在乡镇一级实行医药分开核算、分别管理 ,不利于防保功能的落实 ,引起的震荡较大。This paper presents the drug income is the biggest part of total revenue in township hospitals in rural China. As the main way of compensating, it is true that the drug income is depended on providing its health and preventive services. If the new health policy and reform measures which are going to implement in the cities which are extended to the rural areas. The township hospitals will be led to dilemma and it is needed to transfer part of the funding to support of preventive function.

关 键 词：医药管理 乡镇卫生院 防保功能 

分 类 号：R1[医药卫生—公共卫生与预防医学]