村卫生室实施基本药物制度的补偿水平测算——以湖北省江陵县为例

目的：测算村卫生室基本药物制度补偿水平，提出完善补偿机制的政策建议。方法：文献研究和对湖北省江陵县6家村卫生室的现场调查。结果：全国各地补偿水平差异较大，中等补偿水平下，服务人口约2000人的村卫生室，其财政专项补助为8000元／室／年，公共卫生经费补助为8元／人，一般诊疗费收入为5元／人次。江陵县被调查村卫生室日常开支约35920元／年；如果按中等水平补偿，村卫生室的净收入为18344元／年。结论：对村卫生室的基本药物制度补偿，要保证村卫生室的收支平衡以及村医的合理收入；同时应考虑当地经济社会发展、服务人口、省级和县级财政的承受能力以及补偿的可持续性。

Measurement of compensation level of essential medicines system in village clinics:A case study in Jiangling county,Hubei province

Objective:To calculate the compensation level of village clinics implementing essential medicine system and provide policy recommendations for the improvement of compensation mechanism.Methods:Literature and the investigation of 6 village clinics in Jiangling County,Hubei Province were used.Results:Different regions had differences at the level of compensation.According to medium level of compensation,in a village clinic covering about 2 000 populations,special subsidies of finance for each room was 8 000 yuan per year,public health funding compensation was 8 yuan per person and the general clinic fees was 5 yuan per person respectively.The daily expenses of the village clinics in Jiangling county were about 35 920 yuan per year,and if they were compensated at the mean level,their net incomes were 18 344 yuan per year.Conclusion:Government should compensate village clinics to ensure the normal operation and the rational income of village doctors.At the same time,the local economic,social development,service population,the financial capacity of provinces and counties and the sustainability of compensation should be considered.