山东省基本药物制度对乡镇卫生院服务量及患者费用影响研究:基于倍差法的分析  

Study of the Impact of Essential Medicine System on the Patient Visits and Cost in Township Hospital:Based on the Evaluation Method of Difference in Difference

作　　者：李凯[1] 孙强[1] 左根永[1] 杨慧云[1] 孟庆跃[1] 

机构地区：[1]山东大学卫生管理与政策研究中心卫生部卫生经济与政策研究重点实验室,济南250012

出　　处：《中国卫生经济》2012年第4期62-64,共3页Chinese Health Economics

基　　金：教育部哲学社会科学研究重大课题"深化医药卫生体制改革研究"(09JZD0031);山东大学自主创新基金(自然科学类)(2010TS105)

摘　　要：目的:研究山东省基本药物制度对乡镇卫生院服务量和患者就诊费用的影响。方法:收集以县为单位的山东省47个试点县与88个非试点县2009,2010两年乡镇卫生院平均服务量及患者费用情况,利用倍差法控制非干预因素,计算基本药物制度带来的净变化,并结合关键人物访谈资料。结果:使用倍差法控制了其他非基本药物制度因素干预后发现,试点县卫生院门诊人次数下降1 165.59人次,住院人次数下降26.78人次,患者门诊人均药品费用,住院人均药品费用,住院人均医疗费用分别下降7.11元,227.20元,6.86元,门诊人均医疗费用上升0.79元。结论:基本药物制度实施造成卫生院服务量下降,患者药品费用下降的背后暗藏隐患,关注患者医疗费用的变化趋势。Objective： To study the impact of essential medicine system on township hospital service and patients cost. Methods： Township hospital patients＇s visits and cost of 47 essential medicine system pilot counties and 88 non-experimental counties in Shamtong Province by the year 2009 and 2010 are collected, using ＂difference in diffe^nce＂ method to control non-interveutional factors and combining data of key person interviews to estimate the net ehenge. Result： Essential medicine system make pilot counties township hospital out-patient visits decreased 1 165.59 persons, medical-patient visits decreased 26.78 persons. Outpatients medicine cost, hospital patients medicine cost and medieM cost respectively decreased Y＇/.ll, ~227.20, ~6.86,and out patients medical cost increased ~0.79. Conclusion： Essential medicine system decreased the pilot counties township hospital patient visits. Patients medicine cost decreased hut hide risks. Patients＇ medical cost should be paid attention to.

关 键 词：基本药物制度 倍差法 服务量 费用 

分 类 号：R95[医药卫生—药学]