| 引用本文：张崖冰,胡善联,何江江,等.上海市药品零差率政策实施效果的初步分析[J].中国卫生政策研究,2010,3(6):23-26 |
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| 上海市药品零差率政策实施效果的初步分析 |
| 投稿时间：2010-05-01 修订日期：2010-05-11 PDF全文浏览 HTML全文浏览 |
| 张崖冰1, 胡善联1, 何江江1, 杜蕾2, 黄堃2 |
| 1.上海市卫生发展研究中心;2.上海市食品药品监督管理局科技情报研究所 |
| 摘要:目的：对上海市社区卫生服务中心实施药品零差率政策一年来的效果进行初步分析。方法：采用上海市药品采购数据库中的数据，对药品金额、数量和价格等进行分析。结果：零差率药品在社区卫生服务中心的使用金额构成比为17.54%，该政策实施后这一比例并无提高；而所有药品的总金额增长了15.79%，金额前20位药品的价格水平提高了11.25%。讨论：零差率药品目录的科学性是该政策得以有效实施的基础，促进合理使用的措施和补偿到位是保证该政策效果的必要条件；分析发现，该政策实施1年来，降低居民就医负担，引导常见病、多发病和诊断明确慢性病在社区诊治等主要政策目标可能并未达到；零差率这一做法是否还要在基本药物制度中继续沿用值得进一步探讨。 |
| 关键词:药品 零差率 卫生政策 效果分析 上海 |
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| Preliminary analysis of pharmaceuticals zero mark up policy in Shanghai |
| ZHANG Ya-bing1, HU Shan-lian1, HE Jiang-jiang1, DU Lei2, HUANG Kun2 |
| 1.Shanghai Health Development Research Center;2.Science and Technology Information Institute of Shanghai Food and Drug Administration |
| Abstract:Objective: To analyze preliminary effect of pharmaceuticals zero mark up policy in Shanghai community healthcare centers after one year practice. Methods: Database of community healthcare centers in Shanghai hospital pharmaceutical phurchasing system is adopted. Expenditure, volume and price are analyzed. Results: Proportion of zero mark up pharmaceuticals expenditure in community healthcare centers is 17.54%, this figure didnt increased after one year implementation of the policy. But the expenditure of all pharmaceuticals increased by 15.79%, and the price level of top 20 increased 11.25 %. Discussion: Zero mark up drug list is the scientific basis for the effective implementation of this policy, measures of promoting rational use and sufficient compensation are necessary conditions for the policy effect. From the analysis point of view, policy objectives of reducing the burden of healthcare, guiding patients with common diseases and chronic diseases under clear diagnosis to community did not achieve after one year implementation. Whether zero mark up policy still continues to be used in the essential medicines system should be further explored. |
| Key words:Pharmaceutical Zero mark up Health policy Effectiveness analysis Shanghai |
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