论文部分内容阅读
目的:就社区卫生服务机构中零差率类药品的实际经营费用在整个药品支出中所占的比例进行系统动力学的模拟与分析。方法:利用系统动力学软件对上述费用比例按其计算方程给予动态模拟并在调整内部可控参数的基础上达到所需结果。结果:通过机构内部药品批零差率及收支情况的改变,可计算出零差率类药品的实际发生费用及其比例,从而得到使药品经营达到全面公益化的有效方法。结论:“药品零差率”本身还有待完善,还需要结合其他配套措施共同实行,特别是要保证政府部门对社区卫生服务机构药品经营补偿的承接力度。
OBJECTIVE: To simulate and analyze the system dynamics of the proportion of the actual operating expenses of zero-percent difference drugs in the community health service institutions in the entire pharmaceutical expenditure. Methods: The system dynamics software was used to simulate the above cost proportion according to its calculation equation and to achieve the desired result based on the adjustment of the internal controllable parameters. Results: Through the change of the balance of payment and retail of drugs and the change of income and expenditure, the actual cost and proportion of zero-slip drugs can be calculated, and an effective way to make the drug management fully public benefit was obtained. Conclusion: “Drug zero rate ” itself needs to be improved, but also need to be combined with other supporting measures to implement together, in particular, to ensure that government departments to community health service agencies to undertake drug business compensation efforts.