靖江市人民医院实施药品“零差率”等综合改革措施的实践

发布时间：2018-01-27 09:33

本文关键词： 零差率综合医疗改革公立医院　出处：《中国药房》2015年25期 　论文类型：期刊论文

【摘要】：目的:评价靖江市人民医院实施药品"零差率"等综合改革措施的效果。方法:对该院实施综合改革措施前(2012年)、后(2013年)医疗服务项目和药品品规调整、医药费用控制、医院运行基本情况、医院补偿机制等数据进行对比性分析。结果与结论:实施综合改革措施后,该院开展的医疗服务项目由1 408项增加至1 426项(增幅为1.28%),其中价格提高的有949项(占66.55%);药品品规数由1 875个减少至1 670个(降幅为10.93%),但基本药物品规数由261个增加至377个(增幅达44.44%);医药总费用和人均总费用分别由47 756.50万元、633.21元增加至52 486.59万元、686.91元(增幅分别为9.90%和8.48%),但药品总费用和人均药品费用分别由20 765.68万元、275.33元下降至19 905.27万元、260.51元(降幅达4.14%和5.38%),药占比也由43.48%下降至37.92%(降幅达5.56%);医疗总收入和总支出分别由45 382.55、21 751.63万元增加至52 486.59、26 373.33万元(增幅为15.65%和21.25%),但药品总收入和总支出分别由20 838.08、17 605.41万元变为19 905.27、19 640.75万元(增幅分别为-4.48%、11.56%)。提高医院服务项目价格后获得的补偿尽管达到了2 659.60万元,但应该由政府财政补偿(包括基本建设、设备购置补助,公共卫生服务经费,符合规定的离退休人员离退休经费,核定收支后的差额补助)的经费却仍未到位,亟待政府部门和医院进一步完善相关管理政策,促进医疗卫生事业健康发展。
[Abstract]:Objective: to evaluate the effect of comprehensive reform measures such as "zero difference rate" of drugs in Jingjiang people's Hospital. Methods: before the implementation of comprehensive reform measures in Jingjiang City people's Hospital (2012). After (2013) the medical service item and the medicine product regulation adjustment, the medicine expense control, the hospital operation basic situation. Results and conclusions: after the implementation of comprehensive reform measures. The number of medical services offered by the hospital increased from 1,408 to 1,426 (an increase of 1.28 per cent), of which 949 (66.55) were increased in price; The number of pharmaceutical products decreased from 1 875 to 1 670 (a decrease of 10.93%), but the number of essential drug products increased from 261 to 377 (an increase of 44.44%); The total cost of medicine and medicine per capita increased from four hundred and seventy-seven million five hundred and sixty-five thousand yuan to five hundred and twenty-four million eight hundred and sixty-five thousand and nine hundred yuan respectively. 686.91 yuan (the increase was 9.90% and 8.48 respectively), but the total drug cost and the per capita drug cost were two hundred and seven million six hundred and fifty-six thousand and eight hundred yuan respectively. 275.33 yuan fell to one hundred and ninety-nine million fifty-two thousand and seven hundred yuan or 260.51 yuan (by 4.14% and 5.38 yuan). The proportion of drugs also decreased from 43.48% to 37.92. The total medical revenue and total expenditure increased from 45,382.555 to 52,486.59 yuan respectively. Two hundred and sixty-three million seven hundred and thirty-three thousand and three hundred yuan (the increase was 15.65% and 21.25 respectively), but the total drug income and total expenditure were 20,838.08, respectively. The rate of increase from $one hundred and seventy-six million fifty-four thousand and one hundred to $19,905.27 was $19.6475 million (an increase of -4.48% respectively). The compensation received after raising the price of the hospital service project, although it has reached twenty-six million five hundred and ninety-six thousand yuan, should be compensated by the government financially (including capital construction, equipment purchase subsidy). The funds for public health services, the retirement funds for retirees in accordance with the regulations, and the difference between income and expenditure after approval are still not in place. It is urgent for government departments and hospitals to further improve the relevant management policies. To promote the healthy development of medical and health care.
【作者单位】：靖江市人民医院;
【分类号】：R95
【正文快照】： 公立医院改革是当前医改的重点和难点。根据江苏省政府的统一部署,靖江市人民医院(简称“我院”)作为全省15家县级公立医院改革试点单位和两家物价监测哨点单位之一[1-2],从2013年2月1日开始实施以“一减一调一补”为主要内容的公立医院改革,即对所有药品(除中药饮片外)实行

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