中国药房2012，Vol.23Issue(44)：4135-4137,3.DOI:10.6039/j.issn.1001-0408.2012.44.03
上海实施国家基本药物制度后患者药品经济负担变化研究
Changes of Drug Economic Burden of Patients in Shanghai after Implementation of National Essential Drug System
摘要
Abstract
OBJECTIVE: To analyze the changes of drugs economic burden of patients after the implementation of national essential drug system in Shanghai. METHODS: Using Excel 2007 for data input and analysis, the changes of the retail prices of drugs, the total costs of drugs, the drugs expense of outpatient and emergency department each time and the average drugs expense of discharged patients each time were analyzed as well as the changes of drug economic burden of specific diseases both in urban and rural areas. RESULTS: The weighted retail prices of drugs had decreased by 11.83%; the total costs of drugs had decreased by 6.25% in community health care center, the average drugs expense of outpatient and emergency department each time had decreased by 5.87% , the average drugs expense of discharged patients each time had decreased by 3.42% ; the average expense of patients with hypertension each time had decreased from 100.60 yuan to 88.32 yuan in urban areas,67.30 yuan to 53.99 yuan in rural areas; the average expense of patients with acute upper respiratory infection each time had decreased from 73.10 yuan to 69.24 yuan in urban areas, 70.47 yuan to 42.86 yuan in rural areas. Results of survey showed 38.64% and 34.21% of the patients thought their medical expense had a reduction in urban areas in rural areas. CONCLUSION: After implementation of national essential drug system, drug cost decrease to some extent, while patients have no obvious feeling and great gap of economic burden exist between urban area and rural area; the physicians' behavior should be standard, for there is a tendency to over-prescribing drugs and over-expensive drugs in community health care center.关键词
基本药物/社区卫生服务中心/经济负担/调查/上海Key words
Essential drug/ Community health care center/ Economic burden/ Survey/ Shanghai分类
医药卫生引用本文复制引用
李婉莹,罗力,李强,邵月琴,沈宏,陈海乐,周奕男,张崖冰,王晓栋,纽小庆..上海实施国家基本药物制度后患者药品经济负担变化研究[J].中国药房,2012,23(44):4135-4137,3.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）
