实施基本药物制度对基层医疗机构药品收入的影响  

The impact of national essential medicines system on the drug revenue in primary health care institutions

作　　者：唐玉清[1] 王洪涛[1] 杨廉平[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医药卫生管理学院,湖北武汉430030

出　　处：《中国卫生政策研究》2012年第5期58-61,共4页Chinese Journal of Health Policy

基　　金：卫生部课题"初步建立国家基本药物制度(2009-2011年)回顾性研究"

摘　　要：目的:进一步完善基本药物制度,为合理促进基层医疗机构收入转变提供政策依据。方法:采用问卷调查法,收集东、中、西部三省60家基层医疗机构的总收入及药品收入数据,对资料进行描述性统计分析。结果:实施基本药物制度后,调查机构的机构总收入均呈上升趋势;药品收入除西部地区略微增加外,东、中部地区药品收入均出现下降;药占比下降明显,其中,东部下降幅度最高(14.37%),中部其次(7.41%),西部最低(2.41%)。结论:基本药物制度的实施有利于扭转基层医疗机构药占比过高的问题,但需要建立多渠道的长效补偿机制,保障政府财政投入充足及时,才能保证基本药物制度的可持续实施。Objective： This study aims to further develop the national essential medicines system and to provide political evidences for reasonably promoting the transition of primary health care institutions＇ revenue. Methods ： The study was conducted in 60 primary health care institutions across three provinces in the eastern, central and western regions of China. A construct questionnaire is used to collect the data of total revenue and drug revenue. In addition, a descriptive analysis is provided. Results： After the implementation of the national essential medicines system, the total revenue of the investigated institutions increased, the drug revenue decreased in the eastern and central investi- gated agencies, and the drug income proportion declined obviously. It declined by up to 14.37% in eastern, 7.41% in central, and 2.41% in western respectively. Conclusions： The implementation of national essential medicines sys- tem was conducive to reverse the high ＇ drug revenue proportion＇ , but required the establishment of a long-term com- pensation mechanism and sufficient government＇ s financing to ensure the sustainable implementation of the national essential medicines system.

关 键 词：基本药物制度 药品收入 财政补偿 基层医疗机构 

分 类 号：R951[医药卫生—药学]