目前“以药养医”的现象在众多基层医院中普遍存在,药品收入占全部医院业务收入的比例达到50%,甚至更多,造成医院的总收入虽然很高,但收支结余等衡量医院经营业绩的经济指标却始终在低位徘徊,制约了医院卫生事业的进一步发展。另一方面,药品费用是构成医疗费用的主要部分,它的提升将直接造成就医患者医疗费用的增加,加重患者的经济负担。我院自2008年9月份开始,以合理用药为切入点,通过采取一系列的改革措施,降低就医患者的药品费用负担,构建医院科学合理的收入结构,增加了医院业务收入的含金量,达到了医患共赢的效果。 At present, the phenomenon of “taking medicine as medicine” is widespread in many grass-roots hospitals. The proportion of revenue from pharmaceuticals in the total hospital revenue reaches 50% or more, resulting in a high total income of the hospital but with a balance of payments and receipts The economic indicators that measure the operating performance of a hospital have always been hovering at a low level, which has restricted the further development of the hospital’s public health. On the other hand, the cost of medicines constitutes a major part of the medical expenses. Its improvement will directly result in the increase of the medical costs for the patients who seek medical care and increase the financial burden on the patients. Starting from September 2008, our hospital started with rational drug use and adopted a series of reform measures to reduce the medical expenses of medical patients, construct a scientific and reasonable revenue structure of hospitals, and increase the gold content of hospital business income, reaching The effect of doctor-patient win-win situation.