深圳市实施药品零加成政策对公立医院住院费用的影响

?????? 目的 评估取消药品加成政策对公立医院住院医疗费用的影响。方法 对4家公立医院实施药品零加成政策前后住院费用变化情况进行分析。结果 公立医院采取的取消药品加成和提高诊疗费的措施,已经对医疗机构的行为和医疗费用产生了影响。人均住院费用是从第二季的4 830.19元下降到第三季4 613.31元。结论 取消药品加成政策已经成为公立医院改革的一部分,它已经产生积极的影响。但药品加成政策只是医疗费用高昂的一个原因,必须采取综合措施去降低医疗费用。

Influence of Carrying Out Zero Price Addition Policy of Drugs on Public Hospital Expenses in Shenzhen

????? Objective To evaluate the effect of canceling the drug price addition policy on hospitalization expenses of public hospitals. Methods The changes of hospitalization expenses of 4 public hospitals were analyzed before and after carrying out zero price addition policy of drugs. Results The measures of canceling the drug price addition and increasing medical fee in the public hospital had some effects on medical behavior and medical expenses. Per-capita hospitalization expenses dropped to from
4 830.19 to 4 613.31 yuan. Conclusion The policy of canceling the drug price addition had been a part of reform of public hospitals, it had taken positive influence. But the policy of drug price addition was only one reason of high medical costs, comprehensive measures must be taken to reduce medical cost.