Impacts of essential medicine system on revenue structure:Evidence from township health cen-ter in Shanxi Province
10.3969/j.issn.1674-2982.2015.04.005
- VernacularTitle:基本药物制度对乡镇卫生院收入结构的影响--基于山西省的调查研究
- Author:
Yao CHI
;
Qunhong WU
;
Bin LI
;
Lijun GAO
;
Ye LI
;
Libo LIANG
;
Ding DING
;
Jian SONG
;
Mo HAO
- Publication Type:Journal Article
- Keywords:
Essential medicine system;
Township health centers;
Revenue structure
- From:
Chinese Journal of Health Policy
2015;(4):31-34
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the effects of essential medicine system on revenue structures at primary med-ical institutions. Methods:Data on revenue status and structures from 58 township health centers in Shanxi Province was collected to analyze changes and trends. Results:Along with growing government investments in primary medical institutions, the essential medicine system has fundamentally realized full coverage. The percentage of essential medi-cine revenue to pharmaceutical revenue rose from 20 . 45% in 2009 to 97 . 03% in 2013 , though the percentage of pharmaceutical revenue to total revenue dropped by 18 . 43%. The percentage of fiscal subsidy revenue in total reve-nue rose from 25 . 77% in 2009 to 54 . 16% in 2013 , though the percentage of business revenue to total revenue dropped in general. Conclusions:The essential medicine system requires the government’s financial support. Essen-tial medicine lists and primary financial aid policies should be further improved;doctor reimbursement and incentive mechanisms should be improved as well and unreasonable doctor service pricing and reimbursement mechanisms should be reformed.
