湖北省实施国家基本药物制度对基层医疗卫生机构收入的影响调查  

Influence of Essential Drug System on Revenue of Primary Medical Institutions in Hubei Province

作　　者：曾丽[1] 田昕[1] 刘云云[1] 张新平[1] 

机构地区：[1]华中科技大学同济医学院,武汉市430030

出　　处：《中国药房》2011年第40期3758-3760,共3页China Pharmacy

基　　金：湖北省卫生厅重点课题(ZC2010-2)

摘　　要：目的:为完善国家基本药物制度提供参考。方法:抽取湖北省第一批试点地区439家基层医疗卫生机构进行调研,采用描述性统计分析和多元回归分析方法对调查结果进行分析。结果:基本药物制度实施以后,63.33%的基层医疗卫生机构收入有所下降;与实施基本药物制度前比较,88.8%的试点基层医疗卫生机构药品价格有所下降;但基本药物配备率不高,68.0%的试点基层医疗卫生机构配备国家基本药物药品数仅250种,省级增补目录的配备率更低。结论:应健全基层医疗卫生机构的补偿机制,确保基本药物的生产供应,同时应加强基本药物合理用药的培训和教育。OBJECTIVE： To provide reference for the improvement of Essential Drug System. METHODS： Primary medical in- stitutions of the first census regions in Hubei province were selected, and descriptive statistical analysis and multiple regression analysis were used to analyze the survey. RESULTS： The overall income of 63.33 % primary medical institutions dropped after the im- plementation of essential drug system. Drug prices of 88.8% pilot primary medical institutions decreased, compared with before implementation of essential drug system. The rate of essential drugs equipped was in low level, 68.0% of pilot areas were equipped with 250 kinds of national essential drugs. The rate of provincial supplemented drug was in lower level. CONCLUSIONS： During the implementation of essential drug system, we should improve compensation mechanism of primary medical institution, ensure the production and supply of essential drugs and strengthen training and education of rational use of essential drugs.

关 键 词：国家基本药物制度 基层医疗卫生机构收入 药品价格 药品配备 

分 类 号：R95[医药卫生—药学]