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目前,控制医院药品费用的快速增长已成为大家共同关注的公共卫生问题。医保支付方式转变为预付制,超支部分由医院补偿,通过预算约束,强迫医院承担经济风险,自觉规范用药行为,这使得各地均围绕破除医院“以药养医”机制为关键环节,采取一系列措施控制医院药品费用,减少因供方逐利而带来的药品费用快速增长[1]。降低药品销售价格、推行药品统一招标采购、实行药品零差价、制定基本药物目录以及医师用药技术规范等与医院药学部门紧密联系的措施已逐渐施行,因
At present, the rapid growth of the cost of controlling hospital medicines has become a public health issue of common concern. The medical insurance payment mode has been changed into a prepay system. The over-expenditure part is compensated by the hospital. Through the budget constraint, the hospital is obliged to bear the economic risk and regulate the medication behavior consciously. This makes all around the hospital take the principle of " A series of measures control the cost of hospital medicines and reduce the rapid increase in the cost of medicines brought about by the suppliers for their profitability [1]. Measures to reduce the sales price of drugs, to promote unified bidding and purchasing of medicines, to implement zero-difference medicines prices, to set a list of essential medicines and technical specifications for the medical treatment of doctors have been gradually implemented because of the close contact with the hospital pharmacy department.