乡镇卫生院实施基本药物制度前后运行情况比较分析  

Comparative Analysis on the Operation Status of Township Hospitals before and after the Implementation of Essential Medicine System

作　　者：何宇[1,2] 沈郁淇[1,2] 王怡[1,2] 桑新刚[3,2] 王培承[1,2] 马桂峰[1,2] 

机构地区：[1]潍坊医学院,山东潍坊261053 [2]"健康山东"重大社会风险预测与治理协同创新中心,山东潍坊261053 [3]潍坊市卫生局,山东潍坊261061

出　　处：《中国卫生经济》2014年第11期54-57,共4页Chinese Health Economics

基　　金：国家自然科学基金项目(71273191);山东省自然科学基金项目(ZR2010GL031)

摘　　要：目的:研究基本药物制度在基层医疗机构实施前后,山东省某市乡镇卫生院运行变化情况。方法:选取与试点卫生院关键指标相似的卫生院作为对照,利用倍差法,研究基本药物制度实施前后乡镇卫生院的业务指标和财务指标的变化情况。结果:基本药物制度的实施造成了卫生院服务量的增加和药品费用的降低。结论:基本药物制度在乡镇卫生院的实施,提高了卫生院的服务量,遏制了基层医疗机构医疗费用的过快上涨,基本实现了切断"以药养医"利益链条的政策目的。Objective：To analyze the operation status of township hospitals in a city of Shandong before and after the implementation of essential medicine system.Methods：Health centers with similar indictors of pilot health centers were selected to analyzed the changing status of business indictor and financial indictor in township health centers before and after the implementation of essential medicine system by difference in difference method.Results：The implementation of essential drugs system resulted the increase of health center services and the decrease of medicine costs.Conclusion：The implementation of essential medicine system had promoted the quantity of health center services, stopped the over increase of medical costs in primary medical institutions and basically achieved the policy goal of cutting the profit chain of ＂hospitals＇ reliance on drug sales＂.

关 键 词：乡镇卫生院 基本药物制度 取消药品零加成 倍差法 

分 类 号：R95[医药卫生—药学] R197.6