零差率药品销售管理对社区卫生服务机构医疗及药品次均费用影响的现状研究  

Impact of Zero-Profit Drugs Management on Average Expense of Medical Treatment and Drug in Community Health Service Institutions of Beijing

作　　者：刘亚军[1] 许峻峰[2] 刘钢[1] 李楠[1] 冯志兰[1] 胡强[1] 

机构地区：[1]北京市社区卫生服务管理中心,100053 [2]北京市卫生局

出　　处：《中国全科医学》2010年第13期1396-1397,1400,共3页Chinese General Practice

摘　　要：目的研究北京市社区卫生服务机构实施零差率药品销售以来医疗及药品次均费用的现况。方法对北京市322家实施药品零差率销售管理的社区卫生服务机构2007年和2008年的次均医疗、零差率药品和非零差率药品费用的数据进行回顾性分析,使用SPSS13.0统计软件分别对全市、城区和郊区社区卫生服务机构的各组数据做统计学描述和配对t检验。结果2008年与2007年相比,城区次均零差率药品费用的绝对数量和所占次均医疗费用的比例均明显增加,差异有统计学意义(P<0.05)。而郊区只是次均零差率药品费用所占次均医疗费用的比例明显增加,差异有统计学意义(P<0.05)。同期次均非零差率药品费用在郊区出现增长,而城区出现下降趋势,但差异无统计学意义(P>0.05)。次均非零差率药品费用所占次均医疗费用比例中,城区和郊区均出现下降趋势,但差异无统计学意义(P>0.05)。结论药品零差率销售政策是延缓医疗费用增长过快、合理利用医疗资源、解决百姓看病难看病贵社会问题的有效手段。零差率药品销售中的价格因素在城区的影响效果好于郊区。Objective To study the status on average expense of medical treatment and drug in community health services （CHS） institutions of Beijing since implementation of the policy of zero - profit drugs management. Methods The data on average expense of medical treatment, zero - profit drugs, non - zero - profit drugs in 322 CHS institutions of Beijing from 2007 to 2008 were analyzed retrospectively. The SPSS13.0 software was used in statistical description and pared t test for the data. Results In urban CHS institutions the average expense of zero - profit drugs and its proportion of medical treatment in 2008 increased evidently than that in 2007 （ P 〈 0. 05 ）. While in suburbs CHS institutions only the proportion in 2008 increased evidently than that in 2007 （ P 〈 0. 05 ）. The concurrent average expense of non - zero - profit drugs of the rural area increased ; on the contrary, that of the urban area declined, but the difference was not significant （P 〉 0. 05 ）. The proportion of average expense of non - zero - profit drugs in medical treatment was in a tendency to decrease for both urban and rural areas, but the difference was not significant （ P 〉 0. 05 ）. Conclusion The policy of zero - profit drug management in CHS institutions in Beijing is an effective way to control the tendency to increase rapidly for medical expense, utilize the medical resource reasonably, resolve the residents＇ problem of difficulty to see a doctor and expense for medical care. The price factor in zero - profit drugs management effects better result in the urban area than in rural area.

关 键 词：社区卫生服务 零差率 费用 药物 

分 类 号：R197[医药卫生—卫生事业管理]