The Influence Of "Drug Zero Difference" Policy On Primary Medical Institutions

The "drugs zero-profit"-oriented essential medicine system, as the five key parts of the medical and health system reform, ensures the timely supply and rational use of basic drugs, helping rebuild public welfare of public hospitals, protect the people’s livelihood, and achieve the effective path of health in China. The implementation of "drugs zero-profit" system is advantageous to solve long-term problems of “covering hospital expenses with medicine revenue” and “no division between hospital expenses and medicine revenue”, conducive to promote drug production flow and resource optimization configuration, helping everyone have access to basic medical and health service, maintain people’s health, ease crowd medicine burden, and push the development of health business. By adopting the method of survey, the thesis analyzes the impact of the "drugs zero-profit" on the primary medical organizations. The results show that the policy has significantly improved the phenomenon of “covering hospital expenses with medicine revenue”, the amount of outpatient service and hospitalization has obviously increased, the classification management system of grass-roots medical organizations has basically formed, and the phenomenon that it is expensive and difficult to see a doctor has been relatively eased. However, the survey has also found many problems: in grass-roots medical organizations, the income brought by the increase of medical treatment is significantly lower than that brought by the reduction of drug addition, the profit of the grass-roots hospital is obviously reduced, and the financial subsidies are not in place. These problems make many grass-roots medical organizations’ operations difficult, seriously influencing the implementation of the "drugs zero-profit" system. In the end, according to the results of the survey, from the three aspects of government, grass-roots medical organizations and medical personnel, effective countermeasures and suggestions have been provided for the implementation of the "drugs zero-profit" system.