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目的通过建立计量经济学模型估计基本药物“零差率”政策实施前后对于北京市农村地区糖尿病患者治疗费用的影响。方法采用典型抽样在北京房山区和大兴区各抽取一个社区卫生服务中心,随机抽取“零差率”政策实施前后糖尿病患者处方,房山某社区卫生服务中心政策实施前糖尿病患者处方140份,政策实施后处方200份,大兴某社区卫生服务中心只有政策实施后处方200份。结果房山某社区卫生服务中心政策实施后糖尿病患者次均处方药品个数由2.33个降低为1.68个,次均处方费用中位数由160.00元降为58.19元。大兴某社区卫生服务中心“零差率”政策后糖尿病患者处方药品数量平均为3.65个,次均处方费用中位数为178.84元。通过建立计量经济学模型,药品“零差率”政策在其他因素不变的情况下使糖尿病患者单次处方的药品费用下降31.8%。结论北京市药品“零差率”政策使糖尿病患者的次均处方费用下降,但同时应注意配套政策收支两条线的真正落实才能使患者真正受益。
Objective To establish the econometric model to estimate the impact of the basic medicine “zero-difference rate ” policy on the treatment cost of diabetes patients in rural areas of Beijing before and after the implementation of the policy. Methods A typical sample was taken in Fangshan District and Daxing District of Beijing to collect a community health service center. Random sampling was conducted before and after the implementation of the policy of “zero difference rate”. 140 prescriptions of diabetics before implementation of the policy of a community health service center in Fangshan, After the implementation of the policy 200 prescriptions, a Daxing community health service center only 200 after the implementation of the policy prescription. Results After the implementation of the policy of a community health service center in Fangshan, the average number of prescription drugs for diabetics decreased from 2.33 to 1.68, and the median cost per prescription decreased from 160.00 yuan to 58.19 yuan. Daxing a community health service center “zero difference rate ” after the average number of prescription drugs for diabetic patients was 3.65, the average cost per prescription was 178.84 yuan. By establishing a econometric model, the Medicines “Zero Difference ” policy reduced the single-prescription drug costs for diabetics by 31.8% while other factors remained unchanged. Conclusion The drug “zero difference rate ” policy in Beijing will reduce the average prescription cost of diabetics. At the same time, we should pay attention to the real implementation of the two lines of the supporting policies in order to benefit the patients truly.