国家基本药物制度对双诊制的影响及对策研究  

Impact of National Essential Medicine Policy on Two-Way Referral System and the Countermeasures

作　　者：雷明明[1] 冯泽永[1] 

机构地区：[1]重庆医科大学管理学院医学与社会发展中心,重庆市400016

出　　处：《中国全科医学》2011年第13期1422-1424,共3页Chinese General Practice

基　　金：教育部人文社会科学一般项目"城乡统筹条件下基层医疗卫生机构首诊制与双向转诊制机制研究"(08JA630097)

摘　　要：基层医疗机构实施基本药物制度,降低了药品费用,减轻了老百姓用药负担。这将吸引更多的病人选择基层就医,从而有利于首诊制和双向转诊制(简称"双诊制")的建立和完善。但同时也给"双诊制"带来了不利影响,比如药品不够用,上下级医院用药不对接,用药习惯短时难以改变等问题,导致了病人流失,加大了向下转诊的难度。作为一项新的政策,基本药物制度需在实施过程中不断完善,使其更利于"双诊制"的完善和建立,更利于我国基本医疗卫生体制的建立。Implementation of essential drug policy in primary health institutions have reduced drug costs and burden of people.It will become more attractive and be helpful to establish and improve the first consultation system and two-way referral system（＂gate keeper system＂ for short）.However,it also brings some negative impact to ＂gate keeper system＂,such as under-supply of drugs,difference in medication between hospitals and primary health institutions,difficulty in changing habits of medication during a short period of time,which has resulted in dropout of patients and increased the difficulty of down-referral.As a new policy,the essential medicine policy needs a constant improvement in the process of implementation,so as to be more beneficial for the establishment and improvement of ＂gate keeper system＂,and the construciton of the basic medical health system in China.

关 键 词：基本药物制度 首诊制 双向转诊制 

分 类 号：R197[医药卫生—卫生事业管理]