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目的:研究基本药物制度在基层医疗机构试点前后,山东省某市乡镇卫生院财务运行指标变化情况。方法:通过关键指标匹配法选取与试点卫生院相似的卫生院作为对照,利用倍差法,研究乡镇卫生院的总收入、总支出、医疗服务收入、药品收入、人员支出和药物支出等指标的变化情况。结果:基本药物制度的实施,有效抑制了乡镇卫生院药品收入的增长,医院总收入增长速度明显放缓。结论:在乡镇卫生院实施基本药物制度以后,有效控制了基层医疗机构医疗费用的过快上涨,切断了“以药养医”的利益链条,使基层医疗机构回归到合理用药、合理施治的正常轨道上来。
OBJECTIVE: To study the changes of financial operating indexes of township hospitals in a certain city of Shandong Province before and after the primary medical institutions were piloted. Methods: By using the key index matching method to select the hospitals which are similar to the pilot hospitals as the control, using the multiple-difference method, the indexes such as the total income, the total expenditure, the medical service income, the medicine income, the personnel expenses and the drug expenditure of the township hospitals were studied Changes. Results: The implementation of the basic drug system effectively suppressed the growth of drug income in township hospitals, and the growth rate of total hospital income slowed down significantly. Conclusion: After the implementation of the basic drug system in township hospitals, it effectively controlled the excessive medical expenses in grassroots medical institutions and cut off the interest chain of “medical and nursing medicine”, so that the primary medical institutions can return to the rational use of drugs and rational administration Governance normal track up.