| 引用本文：唐圣春,常星,刘春生,等.实施基本药物制度对社区卫生服务供需双方的影响及对策研究[J].中国卫生政策研究,2010,3(12):8-13 |
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| 实施基本药物制度对社区卫生服务供需双方的影响及对策研究 |
| 投稿时间：2010-11-20 修订日期：2010-12-01 PDF全文浏览 HTML全文浏览 |
| 唐圣春, 常星, 刘春生, 魏占英, 陈红敬 |
| 中国医学科学院卫生政策与管理研究中心 |
| 摘要:目的：分析社区卫生服务机构开展基本药物制度试点对供需双方的影响及其原因，为完善政策提供依据。方法：对机构开展问卷调查，对相关人员进行半结构式访谈。结果：基本药物制度试点对不同地区社区卫生服务机构的影响存在差异，部分机构的服务量和收入有所下降，由于补偿不到位影响了医务人员积极性；基本药物价格水平总体上大幅度下降，但次均门诊费用的变化存在地区差异；由于基本药物目录不完善等原因，影响到患者用药。结论：需要根据实际情况对基本药物目录进行调整；完善基本药物招标和配送机制，保障基本药物的生产供应；采取综合措施提高基本药物使用率，控制医疗费用；进一步建立健全社区卫生服务机构的补偿机制。 |
| 关键词:基本药物制度 补偿 门诊人次 次均门诊费用 |
| 基金项目:中央级公益性科研院所基本科研业务费专项“实施国家基本药物制度的关键障碍与对策研究”（编号：09R0202） |
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| Research on the influence and countermeasures of the implementation of national essential medicine system |
| TANG Sheng-chun, CHANG Xing, LIU Chun-sheng, WEI Zhan-ying, CHEN Hong-jing |
| Center for Health Policy and Management, Chinese Academy of Medical Sciences |
| Abstract:Objective: This article is to analyze the influences of the implementation of National Essential Medicines System(NEMS) on the supply and demand in pilots and their causes so as to provide for policy making. Methods: Questionnaire method is adopted to investigate the community health service institutions, and semi structured interview applied to stakeholders. Results: There are differences among pilots in the influence of the implementation of NEMS. The outpatient visits and incomes have decreased in some institutions; the enthusiasm of medical staffs were influenced due to the imperfect reimbursement mechanism; the price of essential medicines has reduced in totally, while the changes of the outpatient expenses per capita are different; the imperfection of NEMS has influences on the normal use of medicines. Conclusion: According to the actual condition, NEMS should be improved and adjusted; perfect the tendering and distribution mechanism of essential medicines to ensure the production and supply; take comprehensive steps to promote rational use of medicines, control medical expenses；and establish and improve compensation mechanism. |
| Key words:Essential medicines system Compensation Outpatients headcount Average medical expense per outpatient |
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