我国公立医院药品零差率政策实施效果研究

Study on the Effect of Implementing the Drug Zero Mark-up Policy in Public Hospitals in China

目的:运用系统综述法,了解和评价我国公立医院药品零差率政策的实施现状。结果:实施药品零差率政策后,药占比下降,用药结构趋于合理;绝大多数公立医院服务量增加,收支结余增加;医院运营效率提高,但次均医药费用未见明显降低。结论:增加政府投入,优化医疗服务价格定价模式,加强医院自身成本控制,深化配套措施改革。

Objective This paper used the systematic review method to understand and evaluate the implementation status of the zero mark-up policy for public hospitals in China.Results The results showed that after the implementation of the drug zero mark-up policy,the proportion of medicines decreased;the structure of medicines became more reasonable;the vast majority of public hospitals increased the service volume;the balance of revenues and expenditures increased;the efficiency of hospital operations increased but the average medical expenses did not decrease significantly.Conclusion Therefore,it is recommended to increase government input,optimize the price pricing model for medical services,strengthen the hospital's own cost control,and deepen the reform of supporting measures.