本文对南京市三级医疗单位的公费门诊处方进行了抽样调查和分析,结果表明:门诊药费是门诊业务收入的主要部分,老年人群,尤其是老年男性人群的处方构成与费用比例,已成为门诊药费的一大部分;不同级别医院在处方费用上差异有显著意义,而门诊处方在用药种数上一般均控制在三种以内。这对南京市深化医疗制度的改革,合理制定全市统一的公费门诊处方的管理办法,满足不同人群的医疗服务需求,提供了客观的参考数据。 This paper conducts a sample survey and analysis of the outpatient prescriptions for public funds at the tertiary medical institutions in Nanjing. The results show that outpatient drug charges are the main part of the outpatient service income, and the prescription composition and cost ratio of the elderly population, especially the elderly male population, has become A large part of the out-patient drug costs; different levels of hospitals have significant differences in the cost of prescriptions, and out-patient prescriptions are generally controlled within the three types within the number of drugs used. This provides an objective reference for the reform of the deepening medical system in Nanjing and the rational formulation of the city’s unified public expense outpatient prescription management methods to meet the needs of different groups of medical services.