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目的:分析浙江省基本药物制度施行对社区卫生服务机构收支状况的影响。方法:采用分层整群抽样的方法选取宁波、绍兴、丽水3个不同经济水平的地区,采用问卷调查与访谈相结合的方式对三地社区卫生服务机构开展调查研究。结果:基本药物制度实施后,社区卫生服务机构收入结构变化明显,一方面药品收入占机构总收入比值逐年下降,另一方面政府财政补助额度逐年提高,三地社区卫生服务机构财务收支基本平衡。结论:浙江省社区卫生服务机构在基本药物制度实施后,依托政府财政大力支持,基本药物政策的可持续性得到保障。
Objective: To analyze the impact of the implementation of basic drug system in Zhejiang Province on the income and expenditure of community health service institutions. Methods: Stratified cluster sampling method was used to select three regions with different economic levels in Ningbo, Shaoxing and Lishui. The questionnaires and interviews were used to investigate the three community health service agencies. Results: After the implementation of the basic drug system, the income structure of community health service institutions changed significantly. On the one hand, the proportion of total drug income in institutions decreased year by year. On the other hand, the government financial subsidies increased year by year. The financial receipts and expenditures of the three community health service institutions were basically balanced . Conclusion: After the implementation of the basic medicine system, the community health service agencies in Zhejiang Province, with the support of the government finance, have been able to guarantee the sustainability of the basic medicine policy.