取消药品加成政策在某县级公立医院的实施效果评价  

Effect Evaluation of Canceling Drug Addition Policy in a County Public Hospital

作　　者：冯虹[1] 方敏[1] 

机构地区：[1]绵阳市人民医院,四川绵阳621000

出　　处：《中国药房》2015年第6期724-726,共3页China Pharmacy

摘　　要：目的:了解取消药品加成政策在某县级公立医院的实施效果及其影响。方法:对某县级公立医院取消药品加成政策实施前后的同期数据进行比较和分析。结果:取消药品加成政策实施后,住院药占比由44.11%降至35.67%,门诊药占比由49.50%降至38.84%,差异均有统计学意义(P<0.05);住院人均费用及住院人均药费、门诊人均费用及门诊人均药费均显著降低,差异有统计学意义(P<0.05),其中住院人均药费平均降幅为25.5%,门诊人均药费平均降幅为32.1%;但出院人次、门诊诊疗人次和人均住院日无明显变化。结论:取消药品加成政策能够减轻患者医疗费用负担。由此对医院收入产生的影响,一方面需财政合理补偿,另一方面还需医院自身通过提高医疗水平、调整和合理分配收入以充分体现医疗技术劳务价值、用优质的服务吸引患者等途径达到社会公益和医院效益"双赢"的状态。OBJECTIVE： To understand the implementation and effect of canceling drug addition policy in a county public hospi- tal. METHODS： The data in the same period was compared and analyzed before and after implementation of canceling drug addi- tion policy in a county public hospital. RESULTS： The inpatient and clinic drug ratios were decreased from 44.11% to 35.67 % and 49.50% to 38.84% respectively after implementing canceling drug addition policy; there were significant differences （P〈0.05）. Per capita cost of inpatient and drug, and outpatient and drug were significantly decreased, there was a significant difference（P〈 0.05）. Among those, average per capita cost of inpatient drug was decreased by 25.5 %, and 32.1% for average per capita cost of outpatient drug; however, there were no significant changes among the discharged, outpatient clinic visits and per capita inpatient. CONCLUSIONS ： The application of the policy could lower the patient cost. Thereby affecting the income of hospital, on one hand they need reasonable financial compensation, and on the other hand hospitals themselves need to achieve social welfare and hospital efficiency “win-win” state by the improvement the health care level, adjustment and reasonable distribution of income in order to fully reflect the value of medical technology services, attracting patients with high quality of service and quality and other ways.

关 键 词：公立医院 取消药品加成 政策 效果 医疗费用 

分 类 号：R197[医药卫生—卫生事业管理] R95[医药卫生—公共卫生与预防医学]