摘要
目的评价实施国家基本药物制度对基层医疗机构运行的影响。方法以江苏省镇江市丹徒区为例,通过业务工作量、医疗服务收费、患者医疗负担和财政收支等情况,比较国家基本药物制度实施前后基层医疗机构日常运行情况。结果实施药品零差价后,政府补助资金基本到位,但惠民效果并不明显,社区卫生服务中心工作人员认同感不够。结论国家基本药物制度实施的目的并没有完全达到理想目标,需要就存在问题进行整改。
Objective To evaluate the influence of national essential medicine system on primary health institutions. Methods The business workload, medical service charge, patients＇ medical burden, and financial revenue and expenditure of primary health in- stitutions were compared between before and after the implementation of national essential medicine system in Dantu district. Results After implementation of medicine zero spreads policy, the government financial assistance was stabilized, while the effect was not obvious. The sense of identity in community health service staff was not enough. Conclusion The implementing of essential medi- cine system does not fully achieve the ideal goal,and needs to rectify.
出处
《重庆医学》
CAS
CSCD
北大核心
2013年第5期532-535,共4页
Chongqing medicine
基金
教育部人文社会科学研究青年基金资助项目(12YJC630280
09YJA840013)
关键词
国家基本药物制度
基层医疗机构
对策建议
national essential medicine system
primary health institutions
countermeasure
