苏北某县乡镇卫生院基本药物制度实施现状分析

发布时间：2018-05-25 00:25

本文选题：基本药物 + 乡镇卫生院　；参考：《中国卫生事业管理》2017年03期

【摘要】：目的:分析基本药物制度实施对欠发达地区基层医疗机构产生的影响。方法:通过发放机构调查表收集苏北某县17家乡镇卫生院2013~2015年期间相关数据资料,并结合人物访谈进行综合分析。结果:从2013年到2015年,样本县乡镇卫生院配备的基本药物品种数由872种降至666种,其中国家基本药物占比由56.77%降至54.50%;总卫生服务量有所增加,其中门诊和住院服务量年均增长率分别为46.82%和-23.86%;收入结构中主要来源是医疗收入,占比48.20%~54.20%,药占比和财政补助占比21.30%~23.00%。结论:推行基本药物制度过程中还存在国家基本药物配备使用欠缺主导地位、基本药物制度实施对住院服务有一定的抑制作用和基本药物零差率销售背景下财政补助水平偏低的问题。
[Abstract]:Objective: to analyze the effect of the implementation of essential drugs system on primary medical institutions in underdeveloped areas. Methods: the relevant data of 17 township health centers from 2013 to 2015 in a county in northern Jiangsu were collected and analyzed by means of distribution organization questionnaire. Results: from 2013 to 2015, the number of essential drugs provided in the sample county township health centers decreased from 872 to 666, in which the proportion of national essential drugs decreased from 56.77% to 54.50%, and the total amount of health services increased. The average annual growth rate of outpatient service and inpatient service was 46.82% and -23.86%, respectively, and the main source of income was medical income, accounting for 48.20% and 54.20%, and the proportion of medicine and financial subsidy was 21.30% and 23.00%, respectively. Conclusion: in the process of implementing the essential drug system, there is still a lack of dominant position in the use of essential drugs in the country. The implementation of essential drugs system has a certain inhibitory effect on hospital service and the problem of low level of financial subsidy under the background of zero difference rate of sale of essential drugs.
【作者单位】：南京中医药大学卫生经济管理学院;灌南县卫生局;
【基金】：教育部人文社会科学研究规划基金项目“基于HROL的国家基本药物制度福利效应提升研究”(编号:15YJA630060)
【分类号】：R95

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