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本文分析了某地县医院1985年至1990年的药品收支情况。批出县医院的药品收入占总收入的50%左右。几年来医疗服务收入的比例不断提高,但药品收入比例仍呈逐年上升趋势。一次均药费以每年15.07～51.16%速度增加。同时证明药品收入是县医院弥补医疗服务亏损的主要途径。1990年县医院药品纯、毛收入之比为1:6.40,提示医从药品收入上每多增加1元钱,就要多卖6.40元钱的药品,因而医疗消费者的负担不断加重。建议采取综合措施,要充分体现卫生事业的公益福利性。
This article analyzes the pharmaceutical revenue and expenditure of a county hospital from 1985 to 1990. The drug revenue from the county hospitals is about 50% of the total revenue. In recent years, the proportion of medical service income has been continuously increasing, but the proportion of drug income is still rising year by year. The average drug fee is increased at a rate of 15.07 to 51.16% per year. At the same time, it proves that drug income is the main way for county hospitals to make up for the loss of medical services. In 1990, the ratio of pure drug and gross income of county hospitals was 1:6.40, which implied that for each additional increase in drug income from medical treatment, the amount of drugs to be sold was 6.40 yuan, which in turn increased the burden on medical consumers. It is recommended that comprehensive measures be taken to fully reflect the public welfare benefits of the health industry.