CAJ | 학술논문

目的：探讨基本药物制度对基层医疗机构收支结构的影响。方法：选择上海、四川和重庆地区共12所基层医疗机构作为研究对象，收集实施基本药物制度前后的收支结余等数据进行分析。结果：实施基本药物制度前后，基层医疗机构财政补助收入占总收入比例上升了20.24%，医疗收入和药品收入占业务收入的比例分别从实施前的36.86%和49.30%增长到实施后的41.68%和52.72%，增幅分别为13.09%和6.95%。收支结余率实施前后分别为-1.06%和-5.78%，降幅为-443.39%。结论：实施国家基本药物制度后，基层医疗机构医疗财政补助收入和医疗收入比重不断升高，药品比重略有下降，但多数基层医疗机构收支亏损增大。同时，基层医疗机构在服务能力和补偿等方面面临着诸多问题。
목적：탐토기본약물제도대기층의료궤구수지결구적영향。방법：선택상해、사천화중경지구공12소기층의료궤구작위연구대상，수집실시기본약물제도전후적수지결여등수거진행분석。결과：실시기본약물제도전후，기층의료궤구재정보조수입점총수입비례상승료20.24%，의료수입화약품수입점업무수입적비례분별종실시전적36.86%화49.30%증장도실시후적41.68%화52.72%，증폭분별위13.09%화6.95%。수지결여솔실시전후분별위-1.06%화-5.78%，강폭위-443.39%。결론：실시국가기본약물제도후，기층의료궤구의료재정보조수입화의료수입비중불단승고，약품비중략유하강，단다수기층의료궤구수지우손증대。동시，기층의료궤구재복무능력화보상등방면면림착제다문제。
Objective: To investigate the influence of essential medicine system on revenue-expenditure structure at primary medical institutions. Methods: 12 primary primary institutions in Shanghai, Sichuan and Chongqing which were selected as the objects, the data of payment balance before and after the implementation of essential medical system was collected to analyze. Results: Before and after the implementation of essential medical system, the percentage of fiscal subsidies revenue in the total revenue has risen by 20.24%. The percentage of medical revenue has risen from 36.86% to 41.68%, increased by 13.09%. The percentage of medical revenue has risen from 49.30% to 52.72%, increased by 6.95%. The percentage of Balance of payment has dropped from -1.06% (before) to 5.78%(after) , reduced by 443.39%. Conclusion: Before and after the implementation of national essential medical system, the percentage of fiscal subsidies revenue and medical revenue is rising, while with a slight decrease in medicine. However, the loss of balance increased in most primary medical institutions. At the same time, the primary medical institutions are facing many problems in service capabilities and compensation.