成都市试点社区卫生服务机构实施药品“零差率”政策效果评价.pdfVIP

Ch in s Journal ofN w D rugs 2008, Vol. 17 N o. 21 2008 17 21 / 0 1, 2 1, 3 3 2 , , , ( 1 北京大学光华管理学院中国医药经济研究中心, 北京 100871; 2沈阳药科大学工商管理学院, 沈阳 110016; 3 华中科技大学同济医学院医药卫生管理学院, 武汉 430030) [] 对成 市试点社区卫生服务机构实施药品/ 零差率0政策的情况进行实地调研, 分析评价了该 政策的实施效果结果表明成 市在药品/ 零差率0政策之后, 使社区卫生服务机构的药品价格比以往有所 降低, 表现为次均处方药品 个数和药品费用的下降由于药品的经济特性, 该政策未必能取得长期效果, 因 此必须同步完善社区卫生服务机构的医生水平和配套设施, 加大政府投入的力度 [] 药品; 价格; 零差率; 社区卫生服务机构 [] R95 [] C [] 1003- 3734( 2008) 2 1- 1820- 04 Evaluation of the effects of implem enting the policy / W ithoutAdded Profit0 to sale drug in community health service institutions of Chengdu 1, 2 1, 3 3 2 LI Li , CHEN Yao , YAO Lan , LIY ( 1Ch ina Centerf or Pharm aceu tical Outcom e and R esearch, Guanghua Schoo l of M anag em ent, P ek ing Un iv ers ity, B eij ing 110871, Ch ina 2 Co lleg e of B us iness A dm in istration, Shenyang P harm aceutical Un iversity, Shenyang 110016, Ch ina 3 C olleg e of M ed icine and H ealth M anag em ent, Tongj iM ed ical Colleg e, H uazhong Un iversity of Sc ience and Tech nology, Wuhan 430030, Ch ina) [Abstract] In th is study, w inv stigat d th policy mi p lm nt d in community h alth s rvic institutions in Ch ngdu, and valuat d th ff cts of th policy. W found that aft r th policy mi pl m nt d, th pric of drugs w as low r than b for , in shot-t rm; it light n d th doctorsp insp irit to pr scrib th / b ig pr scription0, r ducing both th av rag numb r and drug xp nd itur p r clami . B caus of th m d icin conom ic charact ristics, w do not know th long-t rm ff ct of th policy. Th r for , w must p rf ct th doctorsp sk ill l v l and th r l vant s- tablishm nt, and th gov rnm nt must incr