中国药房2017，Vol.28Issue(31)：4341-4345,5.DOI:10.6039/j.issn.1001-0408.2017.31.06
城市公立医院药品零差率及补偿机制的实证研究
Empirical Study on the Zero-profit Drug Policy and Compensation Mechanism in Urban Public Hospitals
摘要
Abstract
OBJECTIVE:To provide reference for developing zero-profit drug policy and compensation mechanism better in ur-ban public hospitals. METHODS:Taking a public hospital in a city as an example,effects of zero-profit drug policy on hospitals, patients,health insurance fund and single diseases with different drug proportions [cataract (2.94%) vs. chronic renal failure (38.77%)] were investigated by analyzing the canceled drug addition costs and adjusted medical service price data after developing zero-profit drug policy. RESULTS:After developing zero-profit drug policy,the overall compensation rate in the public hospital was 95.20%. The overall burden of urban patients was reduced,average burden cost was decreased 197.73 yuan every time;while the overall burden of urban and rural residents had increased,average burden cost was increased 17.39 yuan every time;and the overall burden of all patients had decreased. Health insurance fund had decreased,in which,the urban workers were decreased 151185500 yuan,and urban and rural residents were increased 4550400 yuan. In medical insurance for urban workers and health insurance for urban and rural residents,hospital increased by 7.00% and 8.99% in income in the treatment of cataract,the medical insurance fund increased by 12.07% and 13.67%,and patients'burden increased by 0.58% and 3.43%,respectively. For chronic renal failure,hospital income increased by 3.23% and 3.93%,medical insurance fund decreased by 3.19% and 3.96%,and pa-tients'burden decreased by 4.27% and 3.63%,respectively. CONCLUSIONS:Zero-profit drug policy is the ideal measure for get-ting rid of"drug-maintaining-medicine". When developing the policy,it should be combined with actual situation and different dis-eases to explore adjustment of medical service prices,reasonable financial compensation models and medical insurance payment mechanism.关键词
城市公立医院/药品零差率政策/补偿机制/患者/医保基金Key words
Urban public hospitals/Zero-profit drug policy/Compensation mechanism/Patient/Health insurance fund分类
医药卫生引用本文复制引用
郜佳,陈丹镝,崔欢欢,江莉,周亚旭..城市公立医院药品零差率及补偿机制的实证研究[J].中国药房,2017,28(31):4341-4345,5.基金项目
成都市发展与改革委员会资助课题(No. H161113) （No. H161113）
