| 引用本文：成就,罗力,孔辉,等.社会医疗保险在药品零差率政策中的作用研究[J].中国卫生政策研究,2009,2(2):24-26 |
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| 社会医疗保险在药品零差率政策中的作用研究 |
| 投稿时间：2009-02-04 修订日期：2009-02-12 PDF全文浏览 HTML全文浏览 |
| 成就1, 罗力2, 孔辉2, 刘芳2, 余云飞1, 严胜1 |
| 1.上海市浦东新区社会发展局医疗机构管理中心;2.复旦大学公共卫生学院 |
| 摘要:逐步实现医院药品购销零差率，切断医院和药品之间的经济联系，是理顺药品市场、减轻人民群众药品费用负担的重要策略之一。本文针对药品零差率的实现方法进行了探索，分析了药品零差率可能给医院带来的损失，评估了社会医保补贴医院损失的可行性，认为只要医院的大部分收入来源于社会医保的补贴，就是可行性的。社会医疗保险应当在药品零差率政策中发挥积极作用。 |
| 关键词:社会医疗保险 药品 卫生改革 |
| 基金项目:国家自然科学基金应急科学研究专款项目（编号：70641032），复旦大学公共管理与公共政策研究国家哲学社会科学创新基地基金。 |
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| Contribution of social medical insurance to promote zero profit drug supply policy in hospitals |
| CHENG Jiu1, LUO Li2, KONG Hui2, LIU Fang2, YU Yun-fei1, YAN Sheng1 |
| 1.Management Centre of Medical Institution, Society Development Bureau of Pudongnewarea;2.School of Public Health, Fudan University |
| Abstract:The zero profit drug supply policy and the split of the economic relationship between hospital and drug salers gradually are one of the important strategies to rationalize the drug market and reduce the residents burden of drug costs. In this paper, we explored the practical ways to eliminate the difference between purchase price and retail price of drugs in hospitals, and to analyze the potential loss of hospitals, and to evaluate the feasibility that social medical insurance subsided the loss of hospitals. This study concluded that as long as most of the revenue of hospitals come from the social medical insurance, it is feasible that social medical insurance provide subsidy to hospitals. Social medical insurance should play an active role in eliminating the difference between purchase price and retail price of drugs in hospitals. |
| Key words:Social medical insurance, Drug, Health care reform |
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