上海市药品零差率政策实施效果的初步分析.pdfVIP

20 10 6 3 6 # # 1* 1 1 2 2 张崖冰 胡善联 何江江 杜 蕾 黄 堃 1. 上海市卫生发展研究中心 上海 200040 2. 上海市食品药品监督管理局 技情报研究所 上海 200233 =摘 要目的: 对上海市社区卫生服务中心实施药品零差率政策 一年来的效果进 初步分析方法: 采 用上海市药品采购数据库中的数据, 对药品金额数量和价格等进 分析结果: 零差率药品在社区卫生服务 中心的使用金额构成比为 17. 54%, 该政策实施后这 一比例并无提高; 而所有药品的总金额增长了 15. 79%, 金额前 20位药品的价格水平提高了 11. 25% 讨论: 零差率药品目录的科学性是该政策得以有效实施的基 础, 促进合理使用的措施和补偿到位是保证该政策效果的必要条件; 分析发现, 该政策实施 1年来, 降低居民 就医负担, 引导常见病多发病和诊断明确慢性病在社区诊治等主要政策目标可能并未达到; 零差率这 一做法 是否还要在基本药物制度中继续沿用值得进一步探讨 =关键词药品; 零差率; 卫生政策; 效果分析; 上海 中图分类号: R951 文献标识码: A doi: 10. 3969/ j. issn. 1674-2982. 2010. 06. 006 P relim inary analy sis of pharm aceu ticals zero m ark-up policy in Shanghai 1 1 1 2 2 ZHANG Ya-bing , H U Shan-lian , HE Jiang-j iang , DULei, H UANGKun 1. ShanghaiH ealthD evelopment esearch Center, Shanghai 200040, China 2. Scienceand Technology Inf ormation Instituteof ShanghaiFood and Drug Adm inistration, Shanghai 200233, China =Ab stract Objecti e: To analyze prelmi inary effect of pharmaceuticals zero m ark-up policy in Shanghai com- mun ity healthcare centers after one-year practice. M ethods: Database of commun ity healthcare centers in Shanghai hosp ital pharmaceutical phurchasing system is adopted. Expend iture, olume and price are analyzed. Resu lts: Pro- portion of zero mark-up pharmaceuticalsp expend iture in community healthcare centers is 17. 54% , th is figure d idnpt increased after one-year mi plementation of the policy. But the expenditure of all pharmaceuticals increased by 15. 79% , and the price le el of top 20 increased 11. 25%. D iscussion: Zeromark-up drug list is the scientific basis for the effecti e mi plementation of this policy, mea