【摘要】 目的通过建立计量经济学模型估计基本药物"零差率"政策实施前后对于北京市农村地区高血压患者治疗费用的影响。方法采用典型抽样在北京房山区和大兴区各抽取一个社区卫生服务中心,随机抽取"零差率"政策实施前后高血压患者处方,房山某社区卫生服务中心政策实施前后处方各200份,大兴某社区卫生服务中心只有政策实施后处方200份。结果房山某社区卫生服务中心政策实施后高血压患者次均处方药品个数由2.12个降低为2.00个,次均处方费用中位数由96.5元降为25.9元。大兴某社区卫生服务中心"零差率"政策后高血压患者处方药品数量平均为4.05个,次均处方费用中位数为158.9元。通过建立计量经济学模型,药品"零差率"政策在其他因素不变的情况下使高血压患者单次处方的药品费用下降41.9%。结论北京市药品"零差率"政策使高血压患者的次均处方费用下降,但同时应注意配套政策收支两条线的切实落实才能使患者真正受益。更多还原

【Abstract】 Objective To study the influence of the policy "Zero-profit Drugs" on the medical costs of hypertensive patients in rural Beijing basing on the econometric model.Methods By using the typical sampling two community health service(CHS) centers were chosen from Fangshan district and Daxing district respectively.A random sample of prescriptions for hypertensive patient was selected,including 200 prescriptions from Fangshan district before the implementation of the policy of "Zero-profit Drugs" and 200 after the implementation,and 200 from Daxing district after the implementation.Results After the implementation of the policy,the average drug number of the prescription for the hypertensive patients reduced from 2.12 to 2.00 in a CHS center in Fangshan district while the number was 4.05 in a CHS center in Daxing district.The median of average cost per prescription for the hypertensive patients reduced from RMB 96.5 Yuan to 25.9 Yuan in the CHS center in Fangshan district while the median was 158.9 Yuan in the CHS center in Daxing district.by establishing the econometric model the average cost per prescription for the hypertensive patients after the implementation of the policy of "Zero-profit Drugs" decreased by 41.9% under the condition that the other factors unchanged.Conclusion The implementation of "Zero-profit Drugs" policy reduces the average cost per prescriptions for the hypertensive patients in rural area of Beijing.However only the supporting policy of "Separated Management of Income and Expenditure" be truly implemented,can the patients benefit really.更多还原