北京市药品零差率销售政策的实施对广大社区居民看病就医的影响研究  

Influence of Implementation of "Zero-Profit" Drug Sale on Beijing Residents Treated in Community Health Service Agencies

作　　者：王娜[1] 陈琦[2] 王君丽[3] 潘岳松[4] 梁万年[5] 

机构地区：[1]北京市垂杨柳医院,100022 [2]首都医科大学卫生管理与教育学院 [3]北京地坛医院首都医科大学传染病学研究所 [4]首都医科大学附属北京儿童医院 [5]卫生部应急办

出　　处：《中国全科医学》2011年第1期26-28,共3页Chinese General Practice

摘　　要：目的了解药品零差率销售政策实施后,对广大社区居民看病就医带来的影响。方法采用问卷调查的方式,调查北京市城八区范畴内的社区卫生服务机构,并随机抽查前来就诊的社区居民,收集的数据采用SPSS13.0软件进行统计学分析。结果 2007年和2008年社区卫生服务机构的次均门急诊费用和次均门急诊药费较2006年呈明显下降的趋势;2008年的均处方费用较2007年明显减少;且随着时间的推移,选择"大病去医院、小病在社区"这种就医模式的社区居民比例呈递增趋势。结论随着药品零差率销售政策的开展,广大社区居民在社区卫生服务机构就诊的费用较以往明显减少,同时社区居民的就医意向也逐渐向"大病去医院、小病在社区"转变。Objective To find out the influence on residents being treated in community health service （CHS） agencies after the implementation of ＂ Zero - Profit＂ Drug Sale. Methods The questionnaire survey designed for CHS agencies in Beijing 8 districts was applied and the outpatients were randomly sampled. SPSS 13.0 software was used to analyze the selected data statistically. Results In 2007 and 2008, the average costs and drug expenses of outpatient and emergency per visit in CHS agencies were obviously lower than those in 2006. The average prescription costs was reduced obviously in 2008 than in 2007. The proportion of residents who choose the mode of ＂ big diseases being treated in big hospital, and small diseases being treated in CHS agencies＂ had increased as time goes on. Conclusion Along with the implementation of the policy of ＂ zero - profit＂ drug sale, the costs of residents treated in CHS agencies have been obviously reduced, and the residents＇ intention of visiting a doctor has also gradually changed into the mode of ＂ big diseases being treated in big hospital, and small diseases being treated in CHS agencies＂.

关 键 词：社区卫生服务 药品零差率销售 北京 

分 类 号：R197[医药卫生—卫生事业管理]