CAJ | 학술논문

目的：研究基本药物制度实施对江苏省中部某县级市乡镇卫生院运行绩效的影响，为完善政策提出建议。方法：基于基本药物制度的回顾性调查，采用资料收集和数据分析的方法，对比分析基本药物制度实施前后关键指标。结果：基本药物制度实施后，财政补助和门急诊次均费用变化存在显著性差异（P＜0．01），乡镇卫生院门急诊人次不存在显著性差异（P＞0．05）。结论：基本药物制度实施后，政府财政补助增加，而乡镇卫生院诊疗能力并未提高。建议乡镇卫生院进一步改革管理制度，保障基本药物供应，提升服务能力。
목적：연구기본약물제도실시대강소성중부모현급시향진위생원운행적효적영향，위완선정책제출건의。방법：기우기본약물제도적회고성조사，채용자료수집화수거분석적방법，대비분석기본약물제도실시전후관건지표。결과：기본약물제도실시후，재정보조화문급진차균비용변화존재현저성차이（P＜0．01），향진위생원문급진인차불존재현저성차이（P＞0．05）。결론：기본약물제도실시후，정부재정보조증가，이향진위생원진료능력병미제고。건의향진위생원진일보개혁관리제도，보장기본약물공응，제승복무능력。
Objective: The purpose of this study is to probe the effect of essential medicine system on the performance of township health centers in a county-level city in central Jiangsu Province.Some suggestions will be proposed in order to improve the performance of township health centers.Methods:The data for the current study were collected in a retrospective questionnaire survey.The comparison analysis was used for evaluation the effects of the national essential medicine system on township health centers.Results:There were significant differences in finan-cial supports and the average fees of outpatient service and emergency service (P<0.01), but no significant differences in the visits of outpatient service and emergency (P >0.05), compared with pre-implementation of the essential medicine system.Conclusion:After the implementation of essential medicine system, the governmental financial supports increase, but the medical service capacity of township health centers does not improve.It suggests that management system in township health center needs further reform to ensure the supply of essential medicine and to en-hance the medical service capability.