基本药物制度下村医收入的补偿渠道研究

通过对江苏吴江等7个区县的典型调查,分析了在实行基本药物制度前后村医收入总量和收入结构的变化。研究结果显示：实行基本药物制度后,总体而言,7个调查地区村医的收入有所提高,但是由于实行基本药物制度之前,村医收入数据通过村医自报获得,因此村医收入增加存在一定＂假象＂;村医收入结构由原来以药品收入为主转变为以政府补助为主;与相近行业收入相比,村医收入水平仍然很低。为此,提出实行基本药物制度后,村医收入应由以下三条补偿渠道构成：基本公共卫生服务补助渠道、一般诊疗费和政府财政兜底。

Study on compensatory channels of village doctor's income under the essential medicines system

The paper analyzed that the change of village doctor＇s overall income and structure before and after implementing national essential medicines system.The result showed that there was a significant increase about village doctor＇s income,but which maybe be an illusion because the data of village doctor＇s income was based on self-reported from village doctor before implementing national essential medicines system.Secondly,income structure was from a medicine-dominated to a subsidy-dominated.Thirdly,village doctor＇s income still lower than other similar industries.The conclusion was village doctor＇s income should be consist of three compensatory channels that were basic public health service subsidy,basic medical user fee and financial subsidy.