药品零差率销售的实施对北京市社区卫生服务机构发展的影响研究

Influence of the Implementation of Selling Drug "Without Added Profit" on the Development of Beijing Community Health Service Institutions

目的了解药品零差率销售政策的实施对北京市社区卫生服务机构的业务发展和公共卫生开展方面的影响。方法采用问卷调查的方式,调查北京市城八区范畴内的社区卫生服务机构,收集的数据采用SPSS 13.0统计软件进行统计学分析。结果 2007年社区卫生服务机构的业务收入较2006年同期有所下降,2008年社区机构的业务收入则呈显著增加的趋势,同时药品收入占业务收入的比例呈逐年上升的趋势。2006年以来门急诊量呈逐年递增的趋势,就诊的社区居民中慢性病患者比例增加,社区卫生服务机构的慢性病管理水平提高。结论药品零差率政策实施后,社区卫生服务机构的业务收入指标呈总体增加的趋势,对公共卫生事业的发展起到了积极的促进作用,但是对于药品收入所占比例的控制有待于进一步加强。

Objective To find out the influence on the development of Beijing community health service （CHS） institutions and public health cause after the implementation of selling drug ＂ Without Added Profit＂ . Methods The questionnaire survey designed for CHS institutions in 8 districts of Beijing was applied and SPSS 13.0 software was used to analyze the data statistically. Results In 2007, the income of CHS institutions had been less than that in 2006, and that in 2008 had increased obviously with the ratio of drug income to business income was increasing year by year. The amount of outpatients and emergency patients was increasing too since 2006, and the ratio of chronic diseases had been increased than before, and the management of chronic diseases in CHS institutions had been improved. Conclusion CHS institutions＇ income has been improved after the policy＇s implementing, and it accentuated the development of public health, but the control of the ratio of drug income to business income need to be strengthened further.