河南省基层医疗卫生机构实施国家基本药物制度前后1年的调查分析

目的:为进一步完善国家基本药物制度配套政策提供参考。方法:对比分析2009年3月-2011年2月河南省实施国家基本药物制度的478所基层医疗卫生机构的业务、财务等运行指标,评价实施国家基本药物制度的效果。结果:与2009年比较,2010年基层医疗卫生机构门诊人次和出院人次分别上升7.55%和4.04%,日均住院费用下降6.09%。均次门诊费用和均次门诊药品费用分别下降11.24%和17.55%;均次住院费用和均次住院药品费用分别下降7.19%和11.01%。公共卫生服务收入和财政补助收入分别增加96.19%和177.56%。结论:河南省通过实施国家基本药物制度,有效减轻了患者医疗负担,政府对基层医疗卫生机构的投入加大,基层医疗卫生机构的公益性明显提升。基层医务人员和群众对国家基本药物制度的认知度明显提高。

The Observation Analysis of the Effect of Implementing National Essential Drug System before and after in Basic Medical and Health Institutions in Henan Province

To provide reference of the theoretical basis for National Essential Drug System （NEDS）policy per- fection. METHODS： Contrast the indicators, such as business income, financial assistance and so on of 478 basic medical and health institutions before and after implementing the NEDS from Mar. 2009 to Feb. 2011, to evaluate the effectiveness of the imple- mentation of NEDS. RESULTS： Compared with the data of the same period in 2009, in the institutions implementing the NEDS for 2010, the number of outpatients and in-hospital discharges increased by 7.55 % and 4.04%, and the average daily cost of in-hospi- tal decreased by 6.09%. The average cost of outpatient and the average drug cost of outpatient decreased by 11.24% and 17.55% re- spectively; the average cost of in-patient and the average drug cost of in-patient decreased by 7.19% and 11.01% respectively. Pub- lic health service income and financial aid income increased by 96.19% and 177.56%. CONCLUSION： The implementation of NEDS reduced the medical burden of the masses. On the other hand, the increasing investment from the government in basic medi- cal and health institutions made the function of basic medical and health institutions more clearly positioning, public benefit has im- proved significantly. And the NEDS increases its awareness in basic medical workers and the mass.