基本药物制度实施成效与问题——基于中西部四省16家基层医疗卫生机构的监测数据

目的：分析基本药物制度实施的成效与问题。方法：设计监测表格，在我国中西部选取重庆、四川、湖南和河南四个省份，每个省份抽取4家基层医疗卫生机构，进行数据填报和分析。结果：基本药物制度实施后，财政投入占总收入的比例增加，药品收入占总收入的比例下降，平均门急诊次均医疗费用和药品费用下降。结论：实施基本药物制度后，一定程度上缓解了人民群众“看病贵、看病难”的问题，但存在国家基本药物目录品种数目不能满足基层需要、老百姓并未切实感到实惠、基本药物配套政策不健全的问题。

The implementation effects and problems of essential medicine system:Based on survey of the 16 primary health care institutions in 4 provinces

Objective: To analyze the effects and problems of implementing the essential medicine system. Methods: 4 primary health care institutions in Chongqing, Sichuan, Hunan and Henan Province were respectively chosen to carry out data collection and reporting. Results: With the implementation of essential medicine system, the financial subsidies have grown steadily and the percentage of drug income over total income was decreased. In addition, medical costs and drug costs for average outpatient and emergency treatment have been declined. Conclusion: There still remain the following problems: the essential drug list is not enough for primary health care institutions; people do not feel that drug costs significantly declined, supporting policies of essential medicine system is not well orgnnized.