药品费用控制及基本药物“零差率”政策探究现状研究.docVIP

药品费用控制及基本药物“零差率”政策探究现状研究[摘要] 控制药品费用的过快增长一直是医药卫生改革的重点，卫生部等9部委于2009年发布的《关于建立国家基本药物制度的实施意见》中明确提出在基层医疗机构中配备使用基本药物且实施“零差率”销售。本文对该政策在全国各地的实施情况、产生的效果以及存在的问题进行了评述，为该政策今后进一步完善提供依据。经分析，基本药物“零差率”政策虽在各地取得了一些初步成果，但是药品费用的控制是一项系统工程，仅仅在基层医疗机构实施基本药物“零差率”销售还不足以控制药品费用的增长，需要各相关部门以及相关配套政策的支持。 [关键词] 药品费用；基本药物；零差率 [中图分类号] R197 [文献标识码] C [文章编号] 1673-7210（2012）08（b）-0163-03 Current research situation analysis of drug costs control and “without added profit” policy in national essential medicine sale XU Junjie1 DU Juan2▲ 1.Community Service Health Center of Hancunhe Town, Beijing 102423, China; 2.School of Public Health and Family Medicine, Capital Medical University, Beijing 100069, China [Abstract] Controlling the excessive growth of drug costs has been the focus of health reform. In 2009, Implementation opinion about establishment of the national essential medicines system is released by 9 ministries and commissions including the Ministry of Health, which clearly propose that using essential medicines in primary health sectors and implementing the policy about “without added profit” in essential medicines sale. In order to provide the evidences to perfect the policy in the future, the situation of this policy being implemented across the China has been analyzed and commented in this paper. Although the policy has gained some effect, due to the control of drug costs is a systematic project, implementation of the policy about “without added profit” in essential medicines sale only in the primary health sectors is not enough to control the growth of drug costs, more expectant effect should be brought with the support of the relevant departments and relevant policies. [Key words] Drug costs; Essential medicine; Without added profit 自20世纪80年代以来，我国的医疗卫生费用持续增长，从1985～2009年增长了60.6倍，而同期国内生产总值增长了36.2倍，医疗费用增长速度远远超过国内生产总值增长速度[1]，因而带来的“看病贵”的问题成为社会反映强烈的问题之一，也成为政府着力要解决的难题之一。在高额的医疗费用中，药品费用占据了主要部分，因此，控制药品费用的合理增长一直是我国政府致力解决的问题。2009年我国政府提出重建基本药物制度，其中“政府举办的基层医疗卫生机构配备使用的基本药物实行零差率销售”作为降低医疗费用的重要措