The Study Of Medicines Direct-Supply Pattern In Hospital

In order to reform the mechanism of medical care service supported by dealing with drug, to relieve the situation of difficult and high cost of getting medical service, the reform of medicines direct-supply pattern in the field of purchase and sale was held in a certain first class of third level general hospital in Wuhan City in August 10th, 2006. Through the study of medicines direct-supply pattern in this hospital, the purpose of this research is to fully represent medicines direct-supply pattern in hospital, to analyze its'influence on expenses of drugs and medical care services in hospital, to estimate its'strengths and weaknesses, to judge the feasibility to popularize this pattern, and to advance some recommendations based on the result of study.The method of combining the qualitative data and the quantitative data was adopted based on referring to documents possessed at hand. After gathering the data in all aspects about medicines direct-supply pattern in this hospital, the qualitative data was analyzed theoretically and the quantitative data was analyzed statistically by using SPSS15.0 software.The research finds that after this reform the sum of patients coming to this hospital is increased and the expenses of drugs are reduced, but the expenses of medical care services are raised. The burden of expenses to cure the diseases is relieved in the first year but aggravated in the second year after the reform. The statistical analysis to the variation of prices, usage amounts and expenses of drugs in 3 years before and after the reform shows that after the reform the prices of drugs are reduced, but the usage amounts of drugs are increased year by year, so as that the expenses of drugs recover after firstly lowering. The expenses of drugs are not persistently reduced.After the reform of medicines direct-supply pattern, the prices of drugs are reduced, the capacities of curing diseases and using drugs reasonably by doctors are improved, the behaviors of commercial bribery are restrained effectively and the social benefits are enhanced remarkably. But there are more or less problems in some aspects such as the increase of the expenses of medical care services instead, the unreasonably increase of the usage amounts of drugs, the monopolization of single-supplier and the limitedness of its'capability of supplies, the imperfection about the establishment of prices and the mechanism of the compensation to the hospital.Balancing the strengths and weaknesses of medicines direct-supply pattern, some suggestions are proposed on controlling the expenses of medical care services and the usage amount of drugs, designing the middle-sections of medicines supply, the mode of prices establishment and consummating the mechanism of the compensation to the hospital. The conclusion is drawn that medicines direct-supply pattern is not suitable to popularize on a large scale at present.