摘要
目的:了解青海省基层医疗机构基本药物使用和财政补助情况,为推行国家基本药物政策提供建议。方法:结合2009年青海省卫生厅医药卫生体制改革调研资料,深入基层医疗机构调查基本药物使用、"零差率"、经济收入和财政补贴等情况。结果:2008年省级医疗机构基本药物的收入占药品总收入的8.9%,州(地、市)级医疗机构基本药物收入占比为33.6%,县级为50.6%,基层医疗机构(乡镇卫生院、村卫生室、社区卫生中心、社区卫生服务站)比例分别为81.6%、81.3%、79.3%和54.7%。取消药品加成后,青海省医疗机构的补偿渠道主要来源于地方财政,财务经营结果预示财政只补助药品收入减少的差额。结论:青海省农牧区基层医疗机构在落实基本药物政策工作中面临着许多实际困难,基本药物的可获得性受到地理环境、民族用药习惯、地方经济基础、财政政策等诸多因素的影响。建议加大财政投入;协调、指导医院合理用药;加大推行基本药物工作的宣传及公众教育力度;开展监测和评估,提出并制定相应的制约和奖励机制,加强基本药物的推广与应用。
OBJECTIVE：To investigate the application and government financial aid of national essential drugs in primary medical and health institutions of farming and pastoral areas of Qinghai province so as to provide suggestion for improving the national essential drug policy.METHODS：Based on medical reform of Qinghai province health department in 2009,the utilization and zero profit of national essential drugs,region drugs financial aid and economic income were investigated.RESULTS：In 2008,the income of national essential drugs in medical institutions at provincial level was 8.9% of total income of drugs,prefecture level of 33.6%,county level of 50.6%,town level of 81.6%,village level of 81.3%,community health center of 79.3% and community health service institution of 54.7%,respectively.After conducting zero profit drug policy,the drugs allowance of medical institutions mainly came from the region financial aid.Results of financial management showed that government finance only complement income difference of drugs.CONCLUSION：In course of conducting national essential drug policy,there have been many problems.The availability of national essential drugs has been affected by geographical environment,medication habit of nationality,region economic foundation and financial policy.It is suggested to strengthen financial input,guide rational use of drugs in hospital,conduct the propaganda of essential drug policy,develop monitoring and evaluation of drug use.Relevant regulations and reward system should be formulated and the popularity and application of essential drugs also should be strengthened.
出处
《中国药房》
CAS
CSCD
北大核心
2010年第40期3756-3758,共3页
China Pharmacy
关键词
青海省
基本药物
可获得性
零差率
Qinghai province
Essential drug
Availability
Zero profit
