摘要
随机抽取浙江省5个基本药物制度实施县(区)及其15所乡镇卫生院进行了机构调查,分析了基本药物配备和使用、门诊处方用药情况,讨论了基本药物制度实施后乡镇卫生院卫生服务量、机构收入与支出、职工收入的变化,提出了完善基本药物目录,加强合理用药宣传培训,强化乡镇卫生院功能定位,增加财政投入,优化机构收入构成以及完善绩效考核制度等政策建议。
Based on a survey of 5 counties and 15 township health centers covered by the national essential medicine system in Zhejiang Province,we analyzed the essential drugs supply and usage,the usage of outpatient prescription drugs,and discussed the changes of health services quantity,institutional income and expenditure,health workers＇ income with the implementation of essential medicine system in township health centers.Then many policy recommendations have been proposed.They include：improving the essential medicine list,strengthening the dissemination and training of essential medicine system,strengthening the functions of township health centers,increasing the financial input,optimizing the structure of institution income and improving the performance appraisal system,and so on.
出处
《中国卫生政策研究》
2011年第6期30-34,共5页
Chinese Journal of Health Policy
基金
浙江省医药卫生基金计划项目(2010KYB081)
杭州师范大学中青年培育基金项目(2010QN24)
关键词
基本药物
乡镇卫生院
卫生服务提供
医疗费用
Essential medicine
Township health center
Health service delivery
Medical expense
