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目的:通过分析影响医疗机构药品费用比例的因素,提出控制或降低药品费用比例的措施。方法:收集某市2013-2015年部分三级医院药品收入占医疗收入比例指标(药占比)进行并统计分析。结果:某市部分三级医院平均药占比2014-2015年基本持平,比2013年略有下降,医疗机构平均药占比维持在较高水平。结论:医疗机构药品费用比例受到国家补偿政策、药品价格、医疗技术服务价格、药品回扣、不合理用药等因素影响,应针对不同原因采取相应的控制措施。
OBJECTIVE: To analyze the factors affecting the proportion of drug costs in medical institutions and put forward measures to control or reduce the proportion of drug costs. Methods: To collect and statistically analyze the proportion of drug income to the proportion of medical income in some tertiary hospitals in 2013-2015 in a city. Results: The average level of some drugs in some tertiary hospitals in one city was basically the same in 2014-2015, slightly lower than that in 2013, and the average proportion of medical drugs in medical institutions remained at a relatively high level. Conclusion: The proportion of medical expenses in medical institutions is affected by such factors as national compensation policy, drug prices, medical technical service prices, drug rebates and irrational drug use. Corresponding control measures should be taken for different reasons.