珠海市某三甲医院药品和医用耗材零差率政策实施效果分析

Analysis on the Implementation Effect of Zero Makeup Policy for Drug and Medical Supplies in a Top Three Hospital in Zhuhai

目的:评估药品和医用耗材零差率政策对医院的影响。方法:运用描述性统计和对比分析方法,对珠海市某三甲医院2014年4月~2017年3月的部分业务指标、盈亏测算、患者次均费用进行分析。结果:零差率政策实施两年后,珠海市某三甲医院门急诊人次、普通门诊人次下降。平均住院日为8.88 d,药占比为34.10%。专家门诊人次、出院人次、手术治疗占比增加。虽让利患者,但次均费用仍然增长;医院存在政策性亏损。结论:改革促进了分级诊疗政策的实施,优化了医院收入结构,药占比显著降低,一定程度上达到政策设计的初衷。

Objective： To assess the impact of zero makeup policy for drug and medical supplies on hospitals. Methods： Descriptive statistics and comparative analysis were used to analyze the related indicators,profit and loss calculation and the cost of patients from April 2014 to March 2017. Results： After the policy was implemented,the number of outpatients and the number of outpatients choosing general doctors decreased. The average length of hospitalization was 8. 88 days,and the proportion of drug consumption was 34. 10%. The number of outpatients choosing medical experts,the number of inpatients and the proportion of surgical treatment increased. Although the policy benefited patients,the average medical expenditure still increased. There was policy loss in the hospital.Conclusion： The reform promotes the implementation of hierarchical medical system,optimizes the hospital income structure and reduces drug proportion significantly,which achieves the original intentions of the policy to some extent.