Analysis of the influence of clinic-pharmacy-separation reform on hospital operations and patients visits to doctors
10.3760/cma.j.issn.1000-6672.2015.04.001
- VernacularTitle:医药分开为主导的改革对医院运行和患者就医的影响
- Author:
Na LI
;
Chen WANG
;
Jia WU
;
Yi ZHANG
- Publication Type:Journal Article
- Keywords:
Public hospital reform;
Clinic-pharmacy-separation;
Fine management
- From:
Chinese Journal of Hospital Administration
2015;(4):241-245
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the outcomes of this reform to the hospital in the past two years.Methods Collecting such indexes as expenses composition,service volume and efficiency of the year before,the first year and the second year of the reform made at the hospital.Comparing the statistics and analyzing the effectiveness.Results Average outpatient expenses per visit and outpatient drug costs of patients with medical insurance during the two years of reform were found to be 12.03% and 5.7%respectively lower than the year before;while the average expenses per case fell by 4.08% and 2.69%respectively,with drug costs falling significantly as well.Outpatient visits fell,with steady increase of outpatients with medical insurance coverage.The distribution of outpatient visits varies significantly in terms of medical branches.There are a slight surplus of medical service charges of outpatients,and slight deficit of medical service charge of inpatients,with a smooth shift of the income makeup from dependence on drug price markup to medical service charge,and steady improvement of hospital efficiency.Conclusion The reform can alleviate patients’financial burden,encourage rational visits of doctors,promote fine management and structure adjustment,benefiting patients in the end.
