论文部分内容阅读
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。
Objective To analyze the influence of the national essential drug system on primary health care institutions in Heilongjiang Province. Methods Before and after the implementation of the national essential medicine system in Heilongjiang Province, the work workload, outpatient service, hospitalization expense, patient medical burden, financial subsidies and changes in business income of 42 primary medical institutions were compared. Results (1) The amount of patients, outpatient visits and hospitalization in grass-roots medical institutions and the financial subsidies at all levels increased to a certain extent. (2) The proportion of medicine decreased by 6.06% on average, reaching the national average level ; (3) From 2009 to 2012, the proportions of grass-roots medical institutions with operating losses after subsidies have changed significantly compared with those before the financial subsidies. Conclusion The implementation of the national essential drug system can effectively reduce the proportion of medicine. Financial subsidies are still an effective measure to relieve the pressure on the operation of grass-roots medical institutions. In addition, there are still limitations on the breadth and depth of the implementation of the national essential drug system and other complementary measures need to be perfected.