中国药品费用走势分析

采用药品费用分解方法,将药品费用的变化指数分解为3个部分:数量指数、价格指数和混合效应指数,剖析各部分的变化趋势。数据来源于2002—2005年北京市和广东省佛山市的13家医院所采购的抗生素和循环系统2类药品的数据。结果发现:控制药品价格不是抑制药品费用的有效手段,药品费用不断上涨的原因是药品用量的增加和药品的替代效应共同作用的结果,应考虑如何促进药品的合理使用。

Trend Analysis of Drug Expenditure in China

Applying decomposing model to separate the growth index of drug expenditure into three parts:quantity index;mix effect;price index.Data come from drug bidding information of antibiotic and circulation among 13 hospitals in Beijing and Foshan of Guangdong Province,from 2002 to 2005.We find that price regulation is not an effective means of expenditure containment,increasing of consumed quantities and treatment substitution lead to cost rising,thus improvement of drug rational use should be considered as well.