健全公立医院药品零差率销售的补偿制度,是破除"以药补医"机制的重要内容.本文通过随机抽样调查重庆市5个区县的人民医院和中医院实施药品零差率销售前后的数据资料,采取定量描述与定性分析相结合的研究方法,对重庆市区县公立医院实施药事服务费补偿政策状况及效果进行了评价.结果表明,重庆药事服务费补偿政策设计比较合理,初步形成对公立医院的正向激励作用,对降低门诊和住院次均药品费用的作用明显;但药事服务费实际补偿率偏低,公立医院综合投入补偿机制和运行机制改革相对滞后,不利于调动公立医院深化改革的积极性.%It is an important content for breaking the mechanism of"drug-supplement-medicine" that the com-pensation system of drug zero price rate should be improved in public hospitals. In this paper, we collect random sampling survey data of the implementation of zero-difference drug sales before and after which is performed in People's hospital and Traditional Chinese Medicine hospital in five counties( districts) of Chongqing city. Based on the data, the status and effects of pharmaceutical service Fee policy on the county-level public hospitals in Chongqing was evaluated by combining quantitative description with qualitative analysis in the research methods. The study shows that the compensation policy design of pharmaceutical service fee is reasonable in Chongqing city and its posi-tive effect is obvious. It has also an obvious effect on the reduction of the average outpatient and hospitalization drug expense;but it's not conducive to arouse the enthusiasm of public hospital deepening reform of the initiative because the actual compensation rate of pharmaceutical service fee is low, and the public hospital comprehensive compensa-tion mechanism and operation mechanism reform are lagging behind.
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