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实施国家基本药物制度对上海社区卫生服务中心经济补偿的影响

李婉莹 罗力 陈海乐 沈宏 李强 邵月琴 周奕男 张崖冰 王晓栋 纽小庆

中国药房2012,Vol.23Issue(44):4129-4131,3.
中国药房2012,Vol.23Issue(44):4129-4131,3.DOI:10.6039/j.issn.1001-0408.2012.44.01

实施国家基本药物制度对上海社区卫生服务中心经济补偿的影响

Effect of National Essential Drug System on Financial Compensation of Community Health Centers in Shanghai

李婉莹 1罗力 1陈海乐 1沈宏 2李强 2邵月琴 2周奕男 1张崖冰 3王晓栋 4纽小庆4

作者信息

  • 1. 复旦大学公共卫生学院/教育部公共卫生安全重点实验室,上海200032
  • 2. 上海市嘉定区初级卫生保健中心,上海201805
  • 3. 独立研究者,上海200000
  • 4. 上海市静安区老年医院,上海200040
  • 折叠

摘要

Abstract

OBJECTIVE: To evaluate the effects of national essential drag system (NEDS) on financial compensation of community health center in Shanghai. METHODS: The operation situation of community health care center was described before and after the implementation of NEDS; the reasons that caused the changes were analyzed. RESULTS: All of community health care centers had a total profit of 1 billion before the implementation of NEDS, and then had a deficit of 2 billion after the implementation. After the implementation of NEDS, the government input had increased by 8.46 billion, the balance of drag had reduced by 3.19 billion, the balance of medical service had reduced by 7.51 billion, in which the personal expenditure had increased by 5.24 billion. Due to the cancellation of drug markup rate and the escalation of human resources cost, although the government input had increased, it was still hard to cover the medical service deficit. CONCLUSION: The government should have a full consideration of the escalation of medical service cost caused by inflation and rising prices, and raise the price of medical service appropriately.

关键词

基本药物/社区卫生服务中心/补偿/上海

Key words

Essential drag/ Community health care center/ Compensation/ Shanghai

分类

医药卫生

引用本文复制引用

李婉莹,罗力,陈海乐,沈宏,李强,邵月琴,周奕男,张崖冰,王晓栋,纽小庆..实施国家基本药物制度对上海社区卫生服务中心经济补偿的影响[J].中国药房,2012,23(44):4129-4131,3.

基金项目

国家自然科学基金资助项目(71073027) (71073027)

"985工程"三期建设经费资助项目 ()

教育部2009年度创新团队项目(NO.IRT0912) (NO.IRT0912)

教育部哲学社会科学研究重大课题攻关项目(07JZD0017) (07JZD0017)

上海市卫生局政策研究课题项目(2011HP005) (2011HP005)

中国药房

OACSCDCSTPCD

1001-0408

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