2002-2009年云南省某县医院门诊处方费用变化分析

摘要

Objective:The paper aims at analyzing the change in fee of prescription drugs and the proportion of drug costs and explaining the change. Method: We selected 109701 outpatient prescriptions by a stratified random sampling method from 2002 to 2009. Result: Outpatients' financial burden of the hospital is lower compared with the same level hospital during 2002-2009. After 2006, the proportion of drug costs remained at 15%, and the average prescription costs stayed in 25 yuan, and the prescription including drugs declined. The traditional model "drugs to support medical" was changed. Suggestion: Strengthen the monitoring to rational drug use when implementing the new rural cooperative; further promote the internal management reforms and strengthen the supervision of medical equipment.%目的:了解门诊处方费用、药品费用变化趋势,并分析其变化原因.方法:通过分层随机抽样方法抽取云南省某县医院2002-2009年109727张门诊处方.结果:2002-2009年门诊病人的经济负担与全国同级医院相比较轻.在医改及医院内部改革的影响下,2006年以后药品所占比例维持在15％左右,单张处方平均药品费用在25元左右,含药品处方率有所下降,门诊收入转变了传统的“以药养医”模式.建议:加大新农合的力度和强度,在推进实施过程中监督用药；进一步推进内部管理改革,加强对医疗设备使用的监管.