摘要
目的:探讨基本药物制度对基层医疗机构收支结构的影响。方法:选择上海、四川和重庆地区共12所基层医疗机构作为研究对象,收集实施基本药物制度前后的收支结余等数据进行分析。结果:实施基本药物制度前后,基层医疗机构财政补助收入占总收入比例上升了20.24%,医疗收入和药品收入占业务收入的比例分别从实施前的36.86%和49.30%增长到实施后的41.68%和52.72%,增幅分别为13.09%和6.95%。收支结余率实施前后分别为-1.06%和-5.78%,降幅为-443.39%。结论:实施国家基本药物制度后,基层医疗机构医疗财政补助收入和医疗收入比重不断升高,药品比重略有下降,但多数基层医疗机构收支亏损增大。同时,基层医疗机构在服务能力和补偿等方面面临着诸多问题。
Objective： To investigate the influence of essential medicine system on revenue-expenditure structure at primary medical institutions. Methods： 12 primary primary institutions in Shanghai, Sichuan and Chongqing which were selected as the objects, the data of payment balance before and after the implementation of essential medical system was collected to analyze. Results： Before and after the implementation of essential medical system, the percentage of fiscal subsidies revenue in the total revenue has risen by 20.24%. The percentage of medical revenue has risen from 36.86% to 41.68%. increased by 13.09%. The percentage of medical revenue has risen from 49.30% to 52.72%, increased by 6.95%. The percentage of Balance of payment has dropped from -1.06% （before） to 5.78% （after） , reduced by 443.39%. Conclusion： Before and after the implementation of national essential medical system, the percentage of fiscal subsidies revenue and medical revenue is rising, while with a slight decrease in medicine. However, the loss of balance increased in most primary medical institutions. At the same time, the primary medical institutions are facing many problems in service capabilities and compensation.
出处
《中国卫生经济》
北大核心
2014年第1期21-23,共3页
Chinese Health Economics
基金
艾美仕(IMS)中国医疗健康信息学院资助项目(IMS-CHN-HSRN 2011001)
关键词
基本药物制度
基层医疗机构
收支结构
essential medicine system
primary medical institutions
balance of payment structure
