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目的:了解基层医疗机构国家基本药物制度启动后各单位推行进展,为卫生行政部门落实专项补偿资金及制定目标管理提供依据。方法:设计调查表格、问卷和调研内容,深入基层医疗机构实地调研,分析调研结果,提出干预建议。结果:基层群众面临老龄化和慢病困扰,“看病难、看病贵”问题长期得不到解决;师社保资金超支很多,面临巨大缺口,国家基本药物制度如果不能切实推行到位,百姓不可能真正从中受益。结论:推行基本药物制度要想真正解决“看病难、看病贵”问题,关键在于使用环节。
OBJECTIVE: To understand the progress of all units after the implementation of the national essential drug system in primary medical institutions, and provide the basis for the implementation of special compensation funds and target management by the health administrative departments. Methods: Design questionnaires, questionnaires and research content, in-depth research at the grassroots level medical institutions, analysis of research results, put forward intervention recommendations. Results: The grass-roots people are confronted with the problems of aging and chronic diseases. The problem of “seeing a doctor hard and seeing a doctor expensive” has not been solved for a long time. There are many overruns in the social security funds for teachers and teachers. Facing a huge gap, if the national essential drug system can not be put into practice effectively, May really benefit from it. Conclusion: The key to implementing the basic drug system is to truly solve the problem of “difficulty in seeing a doctor and expensive doctor”.