全国重点联系城市社区卫生服务机构药品“零差率”政策施行现状及效用分析

目的:了解在全国重点联系城市(区)社区卫生服务体系建设过程中,药品"零差率"的施行现状及其对机构收入的影响。方法:采用问卷调查(普查)的方式,由36个重点联系城市(区)所有社区卫生服务中心和站填写常规监测表。结果:社区卫生服务机构药品"零差率"总的实施率为43.55%,东部城市的实施率比中西部城市高出20%以上;实施药品"零差率"的药品种数相对比较少;药品收入占总收入的比例,在社区卫生服务中心实施组高于未实施组,而在社区卫生服务站实施组则低于未实施组。结论:药品"零差率"实施初见成效,但仍存在实施"零差率"的药品数较少、区域发展不平衡、药品收入占总收入的比例降低不明显等问题,加大政府支持、内涵建设和重视配套政策的制定与落实等措施已成为促进"零差率"政策更好实施的必要举措。

The implementation status quo and utility analysis on zero profit drug supply policy in community health facilities of the key contact cities

Objectives： To understand the status quo of implementing zero profit drug supply policy and to analyze its impact on the total income of facilities in the process of community health service system construction in the key contact cities. Methods： A questionnaire was conducted to survey the 36 key contact cities＇ （area） all community health service centers and stations through filling in the routine monitoring tables. Results ： The general rate of implementing zero profit drug supply policy among community health facilities is 43.55%. The rate among eastern areas is relatively 20% higher than in the west. The drug income over the total income in the implementing community health service centers or stations is lower than those of un-implementing centers or stations. Conclusions： The implementation of zero profit drug supply policy has made a initial success, but there is a lower rate of overall implementation, drug income is still a great proportion of the total income. The study proposes that increasing government support, capacity building, and emphasizing on supporting policy are measures for better promotion and implementation of zero profit drug supply policy.