国家基本药物制度对不同级别医疗卫生机构患者医药费用影响的调查分析  

Invstigation and Analysis of the Effects of National Essential Drug System on Medical Expenses in Different Levels of Medical Institutions

作　　者：王金彩[1] 郑继海[1] 樊伟峰 张强[1] 张国利 

机构地区：[1]新乡医学院第一附属医院药剂科,河南卫辉453100 [2]鹤壁市第一人民医院药剂科,河南鹤壁458030 [3]鹤壁市卫生局,河南鹤壁458030

出　　处：《中国药房》2012年第32期2982-2984,共3页China Pharmacy

基　　金：河南省卫生厅2010年度卫生政策研究重点课题(YWZY2010018)

摘　　要：目的:为国家基本药物制度的推行提供实证参考。方法:抽取鹤壁市6所乡镇卫生院和6所县级以上医院,分别调查国家基本药物制度实施前后各1年内就医患者的人均就医费用、人均药品费用等,并进行统计、分析。结果:与国家基本药物制度实施前相比,6所乡镇卫生院的门诊和住院患者的人均药品费用分别下降了17.91%和11.63%,人均就医费用分别下降了14.01%和8.99%;6所县级以上医院门诊和住院患者的人均药品费用分别上升了12.17%和4.75%,人均就医费用分别上升了18.46%和3.74%。结论:国家基本药物制度的实施有效控制了基层医疗卫生机构就医患者的医药费用,缓解了基层人民群众"看病贵"的状况;但对二级以上医疗卫生机构就医患者的医药费用影响较小。OBJECTIVE： To provide reference for the implementation of the national essential drug system. METHODS： In 6 township health centers and 6 hospitals of county level or above, medical expenses and drug expenses per capita were investigated and analyzed statistically within 1 year before and after implementation of national essential drug system. RESULTS： Compared with before the implementation of national essential drug system, drug expenses per capita of outpatient and inpatient dropped by 17.91% and 11.63 % respectively and medical expenses per capita dropped by 14.01% and 8.99 % respectively in 6 township health centers; drug expenses per capita of outpatient and inpatient increased by 12.17% and 4.75% respectively and medical expenses per capita increased by 18.46% and 3.74% respectively in 6 hospitals of county level or above. CONCLUSION： The implementation of national essential drug system effectively controls medical expense of patients in primary medical institutions, and relieves the situation of ＂high cost of getting medical service＂ for the public. But, it has little effect on the medical expenses in the primary medi- cal institutions of second level or above.

关 键 词：国家基本药物制度 基层医疗卫生机构 医药费用 药品费用 

分 类 号：R95[医药卫生—药学]