Research On The Evaluation Of The Implementation Effect Of Drug Zero Difference Policy

In 2009,the new round of medical reform(new medical reform)is mainly to promote the reform of the national medical system and mechanism,the main goal is to solve the problem of "difficult to see a doctor,expensive to see a doctor".The main goals of public hospital reform are to improve the operating efficiency of the hospital,optimize the hospital's medical income and structure,increase the labor value of medical staff,and reduce the cost of patient visits.After the new medical reform,the nation began to implement the zero-difference rate policy for medicines,gradually promoted the solution of the problem of "medicine supplementing medicine",and promoted the deepening reform of public hospitals.Therefore,study the impact of the drug zero-markup policy on county-level public hospitals,summarize and analyze the experience and problems of the implementation of the policy,and make recommendations for the reform of county-level public hospitals to promote the sustainable development of public hospitals.This article takes a county-level public hospital in Fujian Province as the research object,comparatively analyzes a county-level public hospital in Fujian Province 2013 based on a systematic review of the history and development status of the reform of public hospitals in China Relevantfinancial data from 2016 to 2016,using STATA16 software to study the changes in the hospital's medical income and average cost of patient visits after the implementation of the drug zero difference policy,found that the drug zero difference policy for county-level public hospitals The reform has obvious impacts,including changes in the revenue and expenditure structure of county-level public hospitals and the decrease in the proportion of patient medical expenses,but the total medical expenses and patient out-of-pocket expenses have not decreased,and there have been medical examinations,examinations,tests,and registrations.Many negative problems,such as the substantial increase in medical service costs,are largely attributed to the fact that after the implementation of the zero price difference of drugs,the government ' s financial subsidy income is not strong,and the relevant medical price pricing mechanism and supervision of hospitals and medical personnel have not been improved.Insufficient in place,resulting in no decrease in the cost of patient consultation,resulting in a lack of public welfare in public hospitals Lost.This article believes that the medical insurance payment reform can be scientifically promoted by increasing government financial compensation input;improving the medical price pricing mechanism and strengthening the cost control of medical expenditure;strengthening the training of medical personnel to improve the level of medical services;improving the medical insurance payment system and reducing theout-of-pocket expenses of patients In order to scientifically promote the reform of medical insurance payment,improve the medical price pricing mechanism,strengthen the cost control of public hospitals,enrich hospital compensation channels,and introduce commercial insurance fund services,the burden of public hospital operations can be reduced,thereby reversing the dilemma of hospital losses and protecting public hospitals.The hospital is operating normally.