Losses and gains of medical facilities induced by implementing the Essential Medicines System in a poverty-stricken county
10.3969/j.issn.1674-2982.2017.12.007
- VernacularTitle:一个贫困县实施基本药物制度引致的医疗机构损益研究
- Author:
Zhao-Hua HUO
1
;
Shi-Ying HE
;
Ya-Bing ZHANG
;
Ge BAI
;
Wan-Ying LI
;
Tian-Tian ZHANG
;
Shuai ZHOU
;
Xue-Chen XIONG
;
Yi-Nan ZHOU
;
Liang ZHOU
;
Rui-Ming DAI
;
Li LUO
Author Information
1. 复旦大学公共卫生学院 上海 200032
- Keywords:
Essential Medicines System;
Medical facilities;
Losses and gains (L&G);
L&G ratio
- From:
Chinese Journal of Health Policy
2017;10(12):39-43
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze losses and gains (L&G) of basic medical institutions induced by the Essen-tial Medicines Policy.Methods: Choosing some poverty-stricken county in western China as sample area to conduct field research,using 2009 as baseline year,to calculate L&G and L&G ratio of basic medical institutions caused by adjustments of drug policy,medical services prices, and government subsidies from 2009—2015. Results: Medical facilities have gained after the implementation of the Essential Medicines Policy as a whole. Gains were on an upward trend from 2009—2015,and L&G ratio increased from -2.15% in 2009 to 47.70% in 2015. For medical facilities at different levels, their gains attributed to different causes. Gains for medical facilities at village and town levels mainly attributed to government subsidies;gains for medical facilities at county level mainly attributed to adjustment of medical services prices. Conclusions:Implementation of the Essential Medicines Policy has helped adjust composi-tion of losses and gains of medical facilities. Moving forward,functions and development of medical facilities should be strengthened with a focus on adjusting medical services prices for medical facilities at town level.
