中国医院
中國醫院
중국의원
CHINESE HOSPITALS
2013年
1期
62-63
,共2页
公立医院改革%药品零差率%药品使用
公立醫院改革%藥品零差率%藥品使用
공립의원개혁%약품령차솔%약품사용
public hospital reform%drug zero-mark up sale%drug use public hospital reform%drug zero-mark up sale%drug use
目的:分析公立医院改革药品零差价后,医院药品使用的变化.为有关部门提供决策参考.方法:对公立医院改革前后患者负担费用指标、药品比例和药品结构三个方面的数据进行对比分析,提示药品使用趋势的变化.结果:公立医院实施药品零差率销售后,患者负担的费用指标(门诊均次费用,住院均次费用,住院床日数)均有不同程度的下降;基本药物的使用比例得到提高,自费药品比例下降;药品比例和抗菌药比例明显下降.结论:药品零差率的实施,对公立医院药品的使用比例和结构产生持久而深远的影响.
目的:分析公立醫院改革藥品零差價後,醫院藥品使用的變化.為有關部門提供決策參攷.方法:對公立醫院改革前後患者負擔費用指標、藥品比例和藥品結構三箇方麵的數據進行對比分析,提示藥品使用趨勢的變化.結果:公立醫院實施藥品零差率銷售後,患者負擔的費用指標(門診均次費用,住院均次費用,住院床日數)均有不同程度的下降;基本藥物的使用比例得到提高,自費藥品比例下降;藥品比例和抗菌藥比例明顯下降.結論:藥品零差率的實施,對公立醫院藥品的使用比例和結構產生持久而深遠的影響.
목적:분석공립의원개혁약품령차개후,의원약품사용적변화.위유관부문제공결책삼고.방법:대공립의원개혁전후환자부담비용지표、약품비례화약품결구삼개방면적수거진행대비분석,제시약품사용추세적변화.결과:공립의원실시약품령차솔소수후,환자부담적비용지표(문진균차비용,주원균차비용,주원상일수)균유불동정도적하강;기본약물적사용비례득도제고,자비약품비례하강;약품비례화항균약비례명현하강.결론:약품령차솔적실시,대공립의원약품적사용비례화결구산생지구이심원적영향.
Objectives:To find out the change of drug using after implementation of“drug zero-mark up sale”in public hospital and to provide reference for relative policy makers. Method:Patients medical expense indictors, drug use ratio and medicine structure were compared before and after implementation of“drug zero-mark up sale”reform. Results:After implementation of drug zero-mark up sale reform, patients expense indictors (include outpatients average expense, the inpatients average expense and average length of stay) have been decreased in different degrees. The essential medicine use ratio has been increased and self paid drug use ratio is lower. Drug use ratio and antibiotics use ratio have been decreased significantly. Conclusions:The implementation of drug zero-mark up sale reform has a great and long-term influence on drug use of public hospital. Author’s address:Department of Pharmacy, Tongxiang the Second People's Hospital, No.42, Qingyang Road, Chongfu Township, Tongxiang, 314511, Zhejiang Province, PRC
@@@@Objectives:To find out the change of drug using after implementation of“drug zero-mark up sale”in public hospital and to provide reference for relative policy makers. Method:Patients medical expense indictors, drug use ratio and medicine structure were compared before and after implementation of“drug zero-mark up sale”reform. Results:After implementation of drug zero-mark up sale reform, patients expense indictors (include outpatients average expense, the inpatients average expense and average length of stay) have been decreased in different degrees. The essential medicine use ratio has been increased and self paid drug use ratio is lower. Drug use ratio and antibiotics use ratio have been decreased significantly. Conclusions:The implementation of drug zero-mark up sale reform has a great and long-term influence on drug use of public hospital.
