公立医院实行药品“零差率”后的效果分析

Practice Medicine after Zero-Profit Drug Policy Effect Analysis in Public Hospital

目的:分析以药品"零差率"政策的实施后,对我院运行产生的影响。方法:收集我院改革后一年内的财政收入、工作量、药占比、人均费用等数据与同期进行比较,总结分析数据变化背后的原因。结果:通过药品"零差率"销售、改革科室绩效工资收入分配制度、提高诊疗费、加强合理用药管理等政策,我院的药品收入明显降低,患者用药费用同期减少,减轻了患者的医疗负担。继续推行两票制,减少流通环节,近一步降低药品费用,并同时加强非药品收入的控制和制约。结论:药品"零差率"从根本上废除了长期以来的"以药养医"的制度,收入方式彻底转变,充分提高了医务人员的工作积极性,促进公立医院运行的良性循环。

Objective：To analyze the impact on the hospital management after the Zero-Profit drug policy has been implemented. Methods： To collect the data of fiscal revenue, work load, medical income proportion and annual cost of our hospital in the first year after the reform and to compare them with that of the same period of time, thus we can discover the reasons behind the data change. Results： Through Zero-Profit drug policy, we have a noticeable decrease in the medicine income both of the hospital and the patients, by such methods as selling drugs on a moderate price, reforming the distribution system in all clinical departments, increasing the fee of diagnosis and therapy and reinforcing the drug-use supervision and management, and so on. As a result, we must promote the ＂Two invoices sys- tem＂ and optimize the process, so as to ensure the drug fee being one step closer to the reasonable standard, at the same time, effectively control the non-drug income. Conclusion： The Zero-Profit drug policy has abolished the long-existing potential rule called supporting hos- pital with medicine profits and has shifted the income structure of the hospitals. It has been greatly motivating the staffs in hospitals to work hard, in the end, promoting the hospital management in a virtuous cycle.