A Study On The Influence Of Fujian Province Medicine Zero Sales Policy On Medical Expenses Of Rural Patients

For a long time,"difficult to see a doctor","expensive to see a doctor" is an important problem that puzzles the life of the masses.The problem of high prices is an important reason for the farmers"expensive",and most of the rural patients medical payment for outpatient reimbursement of NCMS,a lower proportion of peasants"poverty caused by illness,the phenomenon occurred frequently.Since 2009,China began to carry out the policy of zero rate sales of drugs in the form of a pilot,by means of "drug reform" to promote the "health care reform" to promote the reform of the entire health care system.At present,the rising cost of medical care has attracted more and more attention.This paper aims to study relevant policies of essential drugs zero sales slip out the national basic drug system in Fujian province and the influence of medical institutions,drug price analysis,after the implementation of zero profit drug effects on rural patients with medical expenses,to judge the feasibility study and on the current Fujian Province Drug zero slip implementation,provide an objective basis for zero slip sales and related policies to further improve the basic drug.This article refers to a large number of literature research using statistical analysis method of 2009-2015 in Fuzhou City,the new rural cooperative medical insurance case medical expense data,the construction of rural patients with outpatient expenditure of time series forecasting model;through years of medical expenses of rural residents survey,establish panel data multivariate linear regression model with various factors affecting medical expenses.The results show that:zero profit drug sales policy in the control of drug prices have certain effect,drugs accounted for a declining trend,but for rural patients the average outpatient expenses not to reduce the effect of.There is a positive correlation between the zero sum rate policy and the rural residents'medical expenses burden,which shows that the medical cost burden of the rural residents has not been reduced after the implementation of the zero price policy.After discussion and analysis,it is found that the rate of drug addition and the cost of medical service are improved,which leads to the decline of the rural residents' actual medical expenditure.This study has put forward policy recommendations to promote the quality of medical and health resources,the city extends to the grassroots,to increase the income of rural residents;perfect compensation mechanism,only to improve medical institutions can effectively protect the operation policy of government investment,reduce the doctors and hospitals on the income of drug dependence;to guide and promote the implementation of the policy,need to establish a perfect system of supervision and administration of medical institutions can effectively protect the healthy and orderly development of health services;improve the Medicare payment system reform,the establishment of the medical insurance project price system.