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目的:了解浙江省实施基本药物制度后,基层医疗机构的收入构成变化情况及政府补偿现状,分析补偿机制中存在的问题。方法:查阅基本药物实施相关补偿政策文件并对相关财政补偿情况月报表进行统计分析。结果:经济发达地区补偿水平远高于经济中等和经济欠发达地区,基层医疗机构累计总收入有一定的下降,财政补偿只占药品总收入累计减少额的75.91%。结论:浙江省财政补偿方法主要是收支差额核定,财政补偿水平存在明显地区差异且财政补偿难以足额到位,基层医疗机构发展受影响。
OBJECTIVE: To understand the changes in the income composition of the primary medical institutions and the status quo of government compensation after the implementation of the basic drug system in Zhejiang Province and analyze the problems existing in the compensation mechanism. Methods: Check out the relevant compensation policy documents for the implementation of essential medicines and carry out statistical analysis on the monthly statements of relevant financial compensation. Results: The level of compensation in economically developed areas was much higher than that in economically underdeveloped areas and the economically underdeveloped areas. The cumulative total income of grassroots medical institutions had declined to a certain extent. Financial compensation accounted for only 75.91% of the total decrease in total revenue of pharmaceutical products. Conclusion: The methods of financial compensation in Zhejiang Province are mainly the verification of balance of payments, the obvious difference in financial compensation levels and the difficulty of full financial compensation in place, and the development of primary medical institutions is affected.