摘要
目的:评价取消药品加成政策实施效果,为完善中国取消药品加成政策提供参考。方法:数据来源于58家县级公立医院的问卷调查和2011—2015年中国县域统计年鉴和政府工作报告,通过固定效应面板回归,对样本县级公立医院年度收入情况及其影响因素进行分析。结果:实施取消药品加成政策的样本医院逐年增多,到2015年底达42家,占样本医院的72.4%;样本医院的总收入、业务收入和药品收入均随时间显著增长(P<0.01);取消药品加成政策使样本医院的总收入、财政补助收入和业务收入分别增加了6.7%、23.9%和11.0%(P<0.05),但对药品收入影响不显著。结论:取消药品加成政策有利于提高医院技术劳务性收入的比重、降低药品收入的比重,从而有利于医药分开的推进;但存在政策落实不到位的问题,仍需多种配套政策共同推进。
Objective:To assess the effect of zero-markup drug policy on annual income in county hospitals,thus,provide reference for policy makers to improve this policy.Methods:Data were collected through questionnaires from 58 county hospitals,and China Statistical Yearbook(County-Level)and Report on the Work of the Government from 2011 to 2015 were used in this study.Fixed-effects panel data analysis was used to evaluate the effect and influential factors of all kinds of annual income.Results:The implementation of zero-markup drug policy increased year by year.And by the end of 2015,42 hospitals accounted for 72.4%of the sample hospital have applied this policy.The total income,financial income and business income of the sample hospitals increased by 6.69%,23.9%and 11.0%after the implementation of zero-markup drug policy,respectively(P<0.05).However,the effect on drug income was not significant.Conclusion:The zero-markup drug policy contributes to cutting off the excessive drug income.However,it is difficult to be implemented zero-markup drug policy in China,therefore calling for a synchronous implementation of other policies.
出处
《药品评价》
CAS
2018年第6期18-21,33,共5页
Drug Evaluation
