| 引用本文：宋杰, 陈勇, 尹航.北京医药分开试点成效及启示——以北京朝阳医院为例[J].中国卫生政策研究,2016,9(9):31-34 |
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| 北京医药分开试点成效及启示——以北京朝阳医院为例 |
| 投稿时间：2016-04-14 修订日期：2016-07-14 PDF全文浏览 HTML全文浏览 |
| 宋杰, 陈勇, 尹航 |
| 首都医科大学附属北京朝阳医院 北京 100020 |
| 摘要:目的：以北京市朝阳医院为例，分析北京市医药分开改革试点三年来所取得的成效，为公立医院改革提出建议。方法：收集医药分开试点前后门诊和住院的相关数据，对药占比、次均药费、业务量、医疗质量、收入及结构进行比较分析。结果：改革第三年与改革前一年相比，门诊、住院药占比分别下降16.98个百分点和13.3个百分点，年均降幅分别为25.57%和36%；门诊、住院患者次均/例均药费分别下降21.39%和34.8%。医疗收入较改革前增加68.1%；药品收入较改革前下降14.29%。医事服务费收入达到24 350万元。检查、化验收入增加52.60%。讨论：试点医院医药分开对于控制药品费用效果良好。建议：公立医院改革下一步应朝着“医检分开”、调整医疗服务价格等方向推进。 |
| 关键词:公立医院 医药分开 医疗服务价格 |
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| The enlightenment of the pilot results of “Medical and Pharmaceutical Separation” in Beijing city on the reform of public hospitals: A case study of Beijing Chaoyang Hospital |
| SONG Jie, CHEN Yong, YIN Hang |
| Beijing Chao-yang Hospital of Capital Medical University, Beijing 100020, China |
| Abstract:This paper aims at evaluating the effectiveness of the "Medical and Pharmaceutical Separation" reform in Beijing in three years, and put forward suggestions for the reform of public hospitals. Using data obtained from hospital database, we compared changes in the proportion of drug cost, the average drug expenditures per time, medical workload, quality, income and structure. The key findings of this study show that after the reform, the quality of medical services has improved. Compared to one year before the reform, in the third year of reform the outpatient and inpatient medicine accounted for decreased to 16.98% and 13.3%, from 25.57% and 36%, respectively; and the outpatient and inpatient patients per capita medical expenses decreased by 21.39% and 34.8% respectively. The health care revenue increased by 68.1% compared with before reform. Drug revenue fell 14.29% before the reform. Medical service fee income reached 243,500,000 yuan. Income from medical examination and laboratory tests increased by 52.60%. Based on the findings of the present investigation, the Trial "Medical and Pharmaceutical Separation" to control the cost of drugs achieved good results. Therefore, it would be advantageous in adopting the reform of public hospitals in the next step toward the medical examination separated, adjust the price of medical services, etc. |
| Key words:Public hospital Medical and pharmaceutical separation Medical service price |
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