摘要
目的:分析浙江省基本药物制度施行对社区卫生服务机构收支状况的影响。方法:采用分层整群抽样的方法选取宁波、绍兴、丽水3个不同经济水平的地区,采用问卷调查与访谈相结合的方式对三地社区卫生服务机构开展调查研究。结果:基本药物制度实施后,社区卫生服务机构收入结构变化明显,一方面药品收入占机构总收入比值逐年下降,另一方面政府财政补助额度逐年提高,三地社区卫生服务机构财务收支基本平衡。结论:浙江省社区卫生服务机构在基本药物制度实施后,依托政府财政大力支持,基本药物政策的可持续性得到保障。
Objective: To analyze the influence of the essential drug system under the implement of community health service institution. Methods: Choosing Ningbo, Shaoxing and Lishui by stratified sampling and processing questionnaires and interviews to investigate these three community health service institutions. Results: After the implementation of essential drug system, the structure of the community health service institution revenue changed significantly. On one hand, the proportion of drug revenues in the total income was reducing by years. On the other hand, financial subsidy giving by government was also increasing by years, The financial income and payment of these three community health service institutions are almost balanced. Conclusion: After the implementation of essential drug policy, community health service institutions in Zhejiang depended on government financial support, the sustainability of essential drug policy was guaranteed.
出处
《中国卫生经济》
北大核心
2014年第6期59-61,共3页
Chinese Health Economics
基金
国家自然科学基金(71103055)
杭州师范大学优秀中青年教师支持计划资助(HNUEYT)
浙江省基层卫生软科学研究项目(2013JC09)
关键词
基本药物制度
社区卫生服务机构
收支状况
浙江
essential drug system
community health service institution
income and expense
Zhejiang