“药品零加成”对上海仁济医院南院收入结构和患者自付费用影响研究  

Study on the impact of"drup zero markups"on the revenue structure and patient expenses of the south hospital of Shanghai Renji Hospital

作　　者：李军 项耀钧[3] LI Jun;XIANG Yaojun(The Second Military Medical University,No.800,Xiangyin Road,Yangpu District,Shanghai,200433,PRC)

机构地区：[1]中国人民解放军海军军医大学,上海市200433 [2]上海交通大学医学院附属仁济医院南院,上海市201112 [3]海军军医大学第一附属医院(上海长海医院),上海市200433

出　　处：《中国医院》2020年第7期40-41,共2页Chinese Hospitals

基　　金：上海申康医院发展中心临床管理优化项目(SHDC12018608)。

摘　　要：目的:了解"药品零加成"对医院收入结构和患者自付费用的影响。方法:以上海仁济医院南院为例,采用SPSS 17.0对该院2013-2017年医院收入和患者自付费用数据进行统计学分析。结果:该院部分病种药占比与均次费用存在统计学关联,表现为负相关;部分病种药占比与非药品耗材实际收入存在统计学关联,表现为负相关。结论:"药品零加成"有效降低了药占比,优化了医院收入结构,促进了医务人员劳动价值的体现,降低了患者的药品费用负担,保障了患者的用药权益。Objective:To further understand the impact of drug zero markups on medical institutions and patients.Methods:Data analysis by SPSS.Result:There are negative statistical correlations between drug occupation ratio and average cost,and revenue of none drugs and consumables on some diseases.It shows that the cost of consumable and service increased while the drug markup was canceled.Conclusion:Reducing the circulation of medicine under the mode of“drug zero markups”can effectively improve the revenue structure of medical institutions,At the same time,it reflects the value of doctors and reduces the burden of patients to a certain extent.

关 键 词：药品零加成 患者自付 医疗机构 收入结构 

分 类 号：R195[医药卫生—卫生统计学]