国家基本药物制度对黑龙江基层医疗机构的影响分析

发布时间：2018-04-13 04:02

本文选题：国家基本药物制度 + 基层医疗机构　；参考：《中国医院管理》2015年02期

【摘要】：目的分析国家基本药物制度对黑龙江基层医疗机构的影响。方法对黑龙江实施国家基本药物制度前后,42家基层医疗机构的业务工作量、次均门诊、住院费用、患者医疗负担、财政补助以及业务收入情况的变化进行对比。结果(1)基层医疗机构门、急诊的患者量,门诊、住院次均费用,各级财政补助都出现一定程度的增长;(2)药占比年均下降6.06%,趋于达到国家平均水平;(3)2009—2012年,与财政补助前相比,补助之后业务亏损的基层医疗机构比重出现较大变化。结论国家基本药物制度的实施能有效降低药占比,财政补助仍然是缓解基层医疗机构运行压力的有效手段,此外,国家基本药物制度实施广度和深度上还存在局限性,需要完善其它配套措施。
[Abstract]:Objective to analyze the influence of national essential drug system on primary medical institutions in Heilongjiang province.Methods the changes of workload, average outpatient service, hospitalization expenses, medical burden, financial subsidy and business income of 42 primary medical institutions before and after the implementation of the national essential drugs system in Heilongjiang were compared.Results 1) the number of patients in primary medical institutions, the number of emergency patients, the average cost of outpatient service and hospitalization, and the financial subsidies at all levels have all increased to a certain extent.) the proportion of drugs has decreased by 6.06 a year, and tends to reach the national average level in 2009-2012, compared with that before the financial subsidy.The proportion of primary medical institutions with business losses has changed greatly after subsidies.Conclusion the implementation of the national essential drug system can effectively reduce the proportion of drugs, and the financial subsidy is still an effective means to relieve the operational pressure of the primary medical institutions. In addition, there are still limitations in the scope and depth of the implementation of the national essential drug system.Other supporting measures need to be improved.
【作者单位】：哈尔滨医科大学卫生管理学院;
【基金】：国家自然科学基金重点项目(71333003);国家自然科学基金项目(71373062)
【分类号】：R95

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