基本药物零差率销售对降低医药费用的影响研究  

Analyzing the Impact of Essential Medicine Zero Markup Sale on Reducing medical expenditure

作　　者：周晓爽[1] 李婷婷[2] 顾雪非[2] 向国春[2] 王云屏[2] 毛正中[2] 张振忠[1] 

机构地区：[1]哈尔滨医科大学,哈尔滨150086 [2]卫生部卫生发展研究中心,北京100191

出　　处：《中国卫生经济》2013年第8期50-52,共3页Chinese Health Economics

基　　金：卫生部规划财务司委托医改背景下农村医疗机构补偿机制研究

摘　　要：目的:评价基本药物零差率销售对降低医药费用的效果,为完善相关政策提供依据。方法:运用描述性分析方法,对调查地区基本药物零差率销售前后医疗机构经济运行及医药费用情况进行对比分析。结果:未实行基本药物零差率销售的县级医疗机构次均费用持续上涨,实行零差率销售的乡村两级医疗机构的次均费用下降,但基层医疗机构用药能力受到限制,且零差率销售后的补偿政策未能充分调动医疗服务提供者的积极性,使得患者向上级医院转移,影响政策效果。建议:应保证基层医疗机构的用药能力,满足群众基本用药,合理激励医疗服务提供者。Objective： To evaluate the impact of essential medicine Zero Markup sale on the medical expenditure reduction and provide references for the implement of relevant policy. Methods： Using descriptive method to compare and analyze the economic operation of medical institutions and the medical expenditure before and after Zero Markup policy. Results： The average cost of county level hospital which did not implement Zero Markup policy continues to rise, while the cost decreases after application of the sale policy. However, the basic medicine institution＇s capacity of using medicine is limited, and the compensation policy after Zero Markup policy could not completely encourage the enthusiasm of medical service providers, lead the patients transfer to upper-hospitals and influence the policy impact. Suggestion： It is necessary to ensure the capacity of basic medical institutions applying medicine, meet the residents＇ demand of medicine and reasonably encourage the medical service provider＇ s enthusiasm.

关 键 词：基本药物制度 进销价差 县级医院 乡镇卫生院 村卫生室 医药费用 就诊流向 

分 类 号：R95[医药卫生—药学]