CAJ | 학술논문

目的：利用处方数据，根据建立基本药物制度这一政策变化来研究基本药物制度的实施对门诊药费的影响。方法：使用“双差法”对18个省的基本药物试点机构的门诊处方进行分析。结果：基本药物制度使得门诊药费降低了20.3个百分点，其中低费用段、中等费用段和高费用段降低的金额大约是3.53元、3.98元和8.59元，而且这一结果非常稳健。这一正向作用对平均门诊药费的刺激效果在一般乡镇卫生院更为显著，与省城社区卫生服务中心相比费用下降了76.1%。结论：基本药物制度的实施使门诊处方药费明显下降，减轻了患者的经济和健康负担。
목적：이용처방수거，근거건립기본약물제도저일정책변화래연구기본약물제도적실시대문진약비적영향。방법：사용“쌍차법”대18개성적기본약물시점궤구적문진처방진행분석。결과：기본약물제도사득문진약비강저료20.3개백분점，기중저비용단、중등비용단화고비용단강저적금액대약시3.53원、3.98원화8.59원，이차저일결과비상은건。저일정향작용대평균문진약비적자격효과재일반향진위생원경위현저，여성성사구위생복무중심상비비용하강료76.1%。결론：기본약물제도적실시사문진처방약비명현하강，감경료환자적경제화건강부담。
Objective: According to the policy changes of establishing Essential Medicine System, using prescription data to analyze impacts of implementing essential medicines system on the outpatient medicine expense. Methods: Using “difference in difference” to analyze outpatient prescription of implementing essential medicine pilot among 18 provinces. Results: The Essential Medicines System decreased expenses per outpatient visit by 20.30%, and low-cost, medium cost and high cost decreased about RMB 3.53, 3.98 and 8.59. The result was very stable. This positive stimulation effects of average outpatient medicine expense was more obvious in normal township hospitals, which decreased by 76.10% compared to community health service center in provincial capital. Conclusion: The implement of Essential Medicine System decreased the Outpatient prescription medicines obviously, lightened the economic and health burden of patients.