| 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，需要完善其他配套措施。 |
| 关键词: 国家基本药物制度 基层医疗机构 政策建议 |
| DOI： |
|
| 基金项目: |
|
| Analysis of Impact of National Essential Medicine System on Primary Health Institutions of Heilongjiang Province |
|
| () |
| Abstract: |
|
Objective To analyze the impact of national essential medicine system on primary health institutions of Heilongjiang Province. Methods The changes of 42 primary health institutions before and after implementing national essential medicine system was analyzed in Heilongjiang Province, including numbers of outpatient or emergency visits，average outpatient and inpatient cost, financial burden of patients, local government financial subsidy and service revenue of hospitals are compared. Results（1）Numbers of the emergency and outpatient visits，average outpatient and inpatient expenditure, government financial subsidy to hospitals have various degrees of growth;（2）The proportion of drug revenue to total service revenue of hospitals decrease by 6.06% per year, reaching the average national level;（3）There are some changes in the proportion of primary health institutions which run deficit declined after local government providing stronger financial assistance from 2009 to 2012. Conclusion Implementation of national essential medicine system can effectively reduce the proportion of drug revenue to total hospital revenue, and local government financial assistance is still a effective means which can relieve the operating pressure on primary health institutions. Besides, implementing national essential medicine system has its limits in the extent and depth, and still needs to be further improved with other supporting measures. |
| Key words: national essential medicine system, primary health institution, policy suggestion |
