中国全科医学2013，Vol.16Issue(7)：737-740,4.DOI:10.3969/j.issn.1007-9572.2013.03.007
北京市社区卫生服务机构基本药物"零差率"政策对农村高血压患者治疗费用的影响
Influence of Zero-profit Drug Policy on Medical Costs of Hypertensive Patients in Rural Area of Beijing
摘要
Abstract
Objective To study the influence of the policy " Zero-profit Drugs" on the medical costs of hypertensive patients in rural Beijing basing on the econometric modeL Methods By using the typical sampling two community health service ( CHS ) centers were chosen from Fangshan district and Daxing district respectively. A random sample of prescriptions for hypertensive patient was selected, including 200 prescriptions from Fangshan district before the implementation of the policy of " Zero -profit Drugs" and 200 after the implementation, and 200 from Daxing district after the implementation. Results After the implementation of the policy, the average drug number of the prescription for the hypertensive patients reduced from 2. 12 to 2. 00 in a CHS center in Fangshan district while the number was 4. 05 in a CHS center in Daxing district. The median of average cost per prescription for the hypertensive patients reduced from RMB 96. 5 Yuan to 25. 9 Yuan in the CHS center in Fangshan district while the median was 158. 9 Yuan in the CHS center in Daxing district, by establishing the econometric model the average cost per prescription for the hypertensive patients after the implementation of the policy of " Zero - profit Drugs" decreased by 41. 9% under the condition that the other factors unchanged. Conclusion The implementation of " Zero - profit Drugs" policy reduces the average cost per prescriptions for the hypertensive patients in rural area of Beijing. However only the supporting policy of " Separated Management of Income and Expenditure" be truly implemented, can the patients benefit really.关键词
社区卫生服务/药品零差率/农村/高血压Key words
Community health services/ Zero - profit drugs/ Rural area/ Hypertension分类
医药卫生引用本文复制引用
杜娟,郑淑美,徐俊杰,赵亚利,王慧丽,郭爱民,路孝琴,刘绍杰..北京市社区卫生服务机构基本药物"零差率"政策对农村高血压患者治疗费用的影响[J].中国全科医学,2013,16(7):737-740,4.基金项目
北京市哲学社会科学规划项目(09BaSH049) （09BaSH049）
