Study On The Effective Of The Drug’s Zero Profit In Township Health Center In Guizhou Province

Objective:Through develops the drug’s zero profit of differing price to the Guizhou Province township health center the movement condition analysis, simultaneously through to the township health center use investigation, the appraisal drug’s zero policy of differing price to the township health center’s development and the survival influence, around the comparative analysis basic medicine zero policy of differing price implementation to the crowd the influence, the key point is the satisfied degree and the medical expense drop situation which the hygienic service needs. For the drug’s zero policy of differing price as well as in county level or above medical establishment’s promotion provides the theory as well as the practice basis.Method:Uses the literature law to collect the domestic and foreign correlation datas and to carry on the analysis to reorganize, uses the original work design questionnaire, from fills in the type questionnaire survey procedure to receive the market town public health center to implement in front of the drug’s zero policy of differing price latter part of a year each data; Uses the interview type questionnaire survey procedure and the thorough interview form collects the township health center correlation staff as well as the seeing a doctor patient to this policy manner and the opinion, uses the SPSS17.0establishment database input data, finally uses the SPSS17.0software to carry on the statistical analysis to the data. After the normal distribution examination, the measurement material assumes skewness distribution the use median to indicate that, the application non-parametric test method, the counting material uses χ2the text.Result:1. Township health center service quantity change situation:After the implementation drug’s zero profit difference, an outpatient service people of average increase scope is23.21%, an in hospital people of average increase scope is25.02%. 2. Township health center income change situation:After the drug’s zero profit difference implementation, the township health center’s medical income average increase scope is38.82%, the drugs income average increase scope is6.79%, the financial revenue average increase scope31.04%.Looking from the income constitution situation that, the drugs income accounts for the total service income the proportion from55.40%to drop to46.21%, the financial subsidy income accounts for the gross income the proportion from21.01%to drop to15.83%.3. Outpatient service, in hospital expense change situation:After the drug’s zero price difference implementation, the outpatient service prescription total expense increases from the average35.40Yuan to37.82Yuan, in which base medicine expense increases from the average10.61Yuan to19.54Yuan; Is hospitalized the total expense to drop from the tie579.03Yuan to404.59Yuan, in which total charges for medicine drops from the average326.30Yuan to194.94Yuan, the inspection cost of treatment and so on drops from the average252.73Yuan to209.65Yuan, the total charges for medicine the base medicine expense drops from the average177.65Yuan to146.07Yuan.4. Medication behavior change situation:The drug’s zero price difference after the implementation, in the outpatient service prescription the antibiotic use occupies the total medicine number use the proportion from18.62%to increase to22.59%, the hormone use occupies the total medicine number use the proportion from2.41%to increase to2.82%, the outpatient service infusion situation38.31%drops from the implementation before to33.06%.5. The hygienic service use is not high to the drug’s zero price difference system universal cognition:The draw an item at random receives a medical examination immediately patient102,69.6%people did not know this policy, in which58.9%people expressed oneself did not know this policy is because doctor the recommendation, had not introduced,41.1%people do not express the attention or because the years of schooling insufficiently do not read a newspaper do not watch the television not to know.6. The drugs allocation mechanism imperfect, is unreasonable:The entire province cover allocation causes the allocation enterprise not conveniently to the region, the economic efficiency difference township health center dragging allocation time, appears the public health center to supply the medicine not promptly, the uneven phenomenon.Conclusion:1. Drug’s zero profit of differing price implementation promotes the township health center’s service quantity to increase, after explained the drug’s zero price difference implementation the charges for medicine reduce increase the patient to choose the public health center seeing a doctor the intention, the township health center approval obtain the promotion; The new agriculture gathers reimburses the proportion to be higher than the county level hospital.2. After the drug’s zero profit of differing price implementation township health center each income all has the increase, in the income constitution compared to on, the drugs income accounts for the service income proportion to drop, the financial subsidy income accounts for the gross income proportion to drop, showed cancels the drugs addition income, will have been able to give since inevitably continuously brings the huge influence take the drugs income as the primary service source of income township health center, the prompt full amount financial subsidy will be the backing which the drug’s zero policy of differing price will be able to develop continually.3. After the drug’s zero profit of differing price implementation the outpatient service expense increases, explained the base for medicinal purposes dose increase causes the base medicine expense to increase, after furthermore in the partial base medicine price-marks the implementation before the drugs addition the price is higher than; The in hospital expense reduces, explained in hospital expense is higher than the outpatient service expense by far, although the out-of-pocket cost is dropping, but as a result of economy bearing capacity limited, the patient is not often willing to choose the hospital treatment, furthermore the new agriculture gathers the coverage fraction the enhancement, although the county level above hospital reimburses the proportion to be lower than the township health center, but in the choice hospital treatment, the patient is willing to choose the medical technology high hospital treatment.4. After the drug’s zero profit of differing price implementation in the middle of the outpatient service prescription the antibiotic and the hormone medication accounts for the medication total the proportion all to have the increase, the outpatient service infusion proportion drops, but was still high, showing medicine use unfairness and the outpatient service quality were low.5. The drug’s zero profit of differing price implementation future trouble is not high to the drug’s zero profit of differing price cognition, showed the township health center propaganda dynamics is insufficient, will certainly to hinder this policy in public health center’s smooth carrying out.6. The drugs allocation mechanism imperfect, is unreasonable, on the unification allocation machine-made surface reduced the cost to guarantee the treatment, but such pattern disrupted the market normal competition order surely.7. Implements the revenue and expenditure two line management positively, establishes the perfect necessary surveillance, the drive mechanism is the township health center’s under drug’s zero policy of differing price implementation background best outlet.