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自实施国家基本药物制度以来,基药已覆盖广大乡镇卫生院和村卫生室。但在基药进村及实施过程中,仍有诸多问题没有得到妥善解决,不仅影响村医的利益,而且有碍基本药物制度的顺利实施。药品加成是长期以来村卫生室运行的基本规则,也是村医主要的收入来源。实施基本药物制度最重要的特征是药品销售零差率,也就是说村医再不能从药费中获得收入,这里的欠缺应由政府补助。但是补助的收缩性很大,与原先设想有不小的出入。按照补助标准,减去损耗,
Since the implementation of the national essential drug system, the basic drugs have covered the majority of township hospitals and village clinics. However, there are still many problems that have not been properly solved in the process of village-based medicine and implementation, which not only affects the interests of village doctors but also hinders the smooth implementation of the system of essential medicines. Addition of drugs is a basic rule that has operated village clinics for a long time and is also a major source of income for village doctors. The most important feature of the implementation of the basic drug system is the zero-turnover rate of drug sales, which means that village doctors can no longer obtain income from medical expenses, and the lack of subsidies here should be provided by the government. However, subsidies are highly contractible and are not inconsiderable with those originally envisaged. According to the subsidy standard, minus the loss,