山东省基本药物制度对乡镇卫生院处方费用的影响  

Impact evaluation of essential medicine system on prescription charges in township hospitals of Shandong province

作　　者：宋燕[1] 卞鹰[1] 

机构地区：[1]澳门大学中药质量研究国家重点实验室,澳门特别行政区999078

出　　处：《中国卫生事业管理》2012年第8期586-587,593,共3页Chinese Health Service Management

摘　　要：目的:分析基本药物政策对乡镇卫生院门诊处方费用的影响。方法:抽取山东21家乡镇卫生院2009～2011年的门诊处方,对处方费用进行比较分析。结果:实施基本药物制度之后,平均处方费用降低了6.78%,100元以上的"大处方"量减少,5种以上药品联用的处方量明显增多;含注射剂的处方平均费用显著高于未使用注射剂的处方,样本县平均处方费用为17.13～18.53元较合理。结论:后续应进一步完善财政补助政策,调整基层医疗机构的收入结构;加强处方的监督管理,促进合理用药;完善基层医生的工资改革和奖金分配制度。Objective ：To study the impact of essential medicine system （EMS） on prescription charges in township hospi-tals. Method ：Taking a representative county in Shandong Province as sample to compare the prescription charges before and after EMS. Results：After EMS,the average prescription charge decreased by 6.78%. The number of prescriptions which charged more than 100 yuan reduced ,but the number of prescriptions with more than 5 drugs increased. The prescription with injection cost is significantly more than that without injection. The rational charges per encounter should be 17.13 - 18.53. Conclusion：We should ensure sufficient financial assistance and adjust the income structure in primary health institutes, improve prescription manage-ment and promote reasonable drug use as well as develop the salary/reward system.

关 键 词：基本药物制度 基层医疗机构 乡镇卫生院 处方费用 

分 类 号：R95[医药卫生—药学]