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目的:分析不同级别中医医院药品收入及其构成情况,为相关决策提供参考。方法:采用分层随机抽样的方法,收集全国中医医院2009年度的业务收入、药品收入、门诊药品收入等相关数据,进行分类和统计。结果:省级、地级和县级中医医院财政投入约为10%,省、地级中医医院药占比为49%左右;门诊药品收入,省级中医医院的占比要明显高于地级和县级中医医院。中草药所占比例,省级医院最高;住院药品收入中中药(中成药+中草药)收入比例均较低。结论:药品收入在医院中属于低效经营;住院治疗中的“西化”现象应引起注意;省级中医医院门诊是中医特色和优势最为集中之处,对于中医医院门诊药品收入考核应有一定政策倾斜。
OBJECTIVE: To analyze the income and composition of pharmaceuticals in different levels of Chinese medicine hospitals and provide references for relevant decisions. Methods: Stratified random sampling method was used to collect the data of business income, medicine income, outpatient medicine income and other data of the National Chinese Medicine Hospital in 2009 for classification and statistics. Results: The provincial, prefecture-level and county-level hospitals invested about 10% of the financial, provincial and prefecture-level hospitals accounted for about 49% of hospital medicine; outpatient drug income, the proportion of provincial hospitals was significantly higher than the provincial level And county level Chinese medicine hospital. The proportion of Chinese herbal medicine is the highest in provincial hospitals; the proportion of income from traditional Chinese medicine (Chinese patent medicine + Chinese herbal medicine) in in-hospital medicine is lower. Conclusions: Drug income is inefficient in hospitals; hospitalization should be noticed in the phenomenon of “Westernization”; Provincial TCM hospitals are the most concentrated characteristics and advantages of traditional Chinese medicine; Certain policies are skewed.