国家基本药物制度的实施对某院运营管理的影响研究

发布时间：2018-05-07 16:14

本文选题：国家基本药物制度 + 医院　；参考：《中国药房》2015年15期

【摘要】：目的:为推进国家基本药物制度的实施提供参考。方法:收集某院2010-2013年的门诊、住院处方和医院财务数据作为研究资料,比较实施国家基本药物制度前后就诊人次、次均就医费用、次均药品费用以及医院收入(支出)结构的变化,在此基础上进行分析和探讨。结果:与2010年相比,该院2011-2013年的门诊和住院就诊人次均逐年增长,门诊就诊人次平均增幅为5.47%,住院人次平均增幅为2.83%。该院患者的次均就医费用呈现先降后升的趋势;次均药品费用持续小幅下降;次均基本药物费用则逐年上升。该院2010-2013年的总收入先降后升;财政补助和其他收入均持续小幅增加;医疗收入年年递增,2013年占比较2010年提高5.39%;药品收入先降后升,但占比持续下降,2013年比2010年下降5.19%。该院总支出逐年上涨;医疗支出同步上涨,且占比逐年提高;药品支出呈现先降后升的趋势,但占比持续下降。该院总收支结余从2012年以后开始向积极的方向发展;其中医疗收支结余连年亏损,2011年亏损最为严重;药品收支结余则连年盈利,但2011年曾大幅度下滑,后再度回升。结论:国家基本药物制度的实施在一定程度上控制了患者的药品费用,但离国家的改革目标尚有距离。建议通过政府加大财政投入、引导和鼓励医师使用基本药物、医院转变运营理念和加强管理等措施,促进国家基本药物制度的进一步贯彻实施。
[Abstract]:Objective: to provide reference for the implementation of national essential drug system. Methods: the data of outpatient, hospital prescriptions and hospital financial data from 2010 to 2013 were collected as the research data to compare the number of visits before and after the implementation of the national essential drug system. On the basis of the analysis and discussion on the change of average drug cost and the structure of hospital income (expenditure). Results: compared with 2010, the number of outpatients and hospitalizations increased year by year, the average increase of outpatient visits and hospitalizations was 5.47 and 2.83 respectively. The average medical cost of the patients decreased first and then increased, the average drug cost continued to decrease slightly, and the average cost of essential drugs increased year by year. The hospital's total revenue declined first and then rose in 2010-2013; financial subsidies and other income both continued to increase slightly; medical revenues increased annually, accounting for 5.39 percent more in 2013 than in 2010; drug revenues fell first, then rose, but the proportion continued to decline, and in 2013 it fell 5.19 percent from 2010. The total expenditure of the hospital increased year by year; the medical expenditure rose simultaneously, and the proportion of medical expenditure increased year by year; the expenditure on drugs decreased first and then increased, but the proportion of medical expenditure continued to decrease. The hospital's total balance of income and expenditure began to develop in a positive direction after 2012, with the medical balance losing year after year, with 2011 being the most serious, and the drug balance making profits year after year, but after a sharp decline in 2011, the hospital recovered again. Conclusion: the implementation of national essential drug system can control the drug cost to some extent, but it is still far from the goal of national reform. It is suggested that the government should increase the financial input, guide and encourage doctors to use essential drugs, change the concept of hospital operation and strengthen management to promote the further implementation of the national essential drug system.
【作者单位】：浙江长兴县中医院药剂科;
【分类号】：R95

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