西安市县级公立医疗机构实施基本药物制度效果评价及分析

目的：通过对西安市实施基本药物制度的县级公立医疗机构进行调查，了解基本药物制度在西安地区县级公立医疗机构的实施情况，为更好地推行基本药物制度提供参考。方法：采用回顾性研究方法，分析2013-2015年西安市县级公立医疗机构的相关统计报表，将数据录入EXCEL数据库进行分析，研究药品配备率、药品收入、药占比、门急诊次均药品费用、住院次均药品费用等指标。结果：2013-2015年，西安市县级公立医疗机构基本药物配备率分别为59.18%、60.06%、65.04%；基本药物平均销售金额比例分别为34.78%、38.90%、48.21%；药占比分别为41.99%、39.52%、38.48%；门诊次均医疗费用年平均增长率为8.85%，门诊次均药品费用年平均增长率为4.38%；住院次均医疗费用年平均增长率为6.33%，住院次均药品费用年平均增长率为1.92%。结论：西安市县级公立医疗机构基本药物的配备和使用趋于合理，药占比逐步降低，但仍然维持较高水平。药品费用年增长率低于医疗总费用年增长率，基本药物制度的实施效果在一定程度上已经显现出来。

Evaluation and Analysis on the Effects of Implementing Essential Medicine System in County-level Public Medical Institutions of Xi'an

Objective:To understand the implementation of the essential medicine system in county-level public medical institutions of Xi''an and to provide references for further implementation of the system through investigation into the implementation of the essential medicine system in county-level public medical institutions of Xi''an. Methods:The relevant statistical data of county-level public medical institutions of Xi''an from 2013 to 2015 were analyzed by using the method of retrospective research. The data were put into Excel database. The rate of essential medicine preparation, medicine income, medicine income proportion, the average outpatient medicine fee per visit and the average inpatient medicine fee per visit were analyzed. Results:The rate of essential medicine preparation in county-level public medical institutions of Xi''an from 2013 to 2015 was 59.18%,60.06% and 65.04% respectively, the average sale amount of essential drugs was 34.78%, 38.90% and 48.21% respectively, the medicine income proportion was 41.99%, 39.52% and 38.48% respectively, the average annual growth rate of outpatient medical fee per visit was 8.85%, the average annual growth rate of outpatient medicine fees per visit was 4.38%, the average annual growth rate of inpatient medical fee per visit was 6.33%, and the average annual growth rate of inpatient medicine fee per visit was 1.92%. Conclusion:The preparation and use of essential medicines in county-level public medical institutions of Xi''an became more and more rational. The medicine income proportion gradually reduced but it still maintained a high level. The annual growth rate of medical fee was lower than that of total medical fee, indicating that the implementation of essential medicine system had effects to a certain extent.