Objective To investigate the present status of the proportion of drug income of the pediatrics in general hospitals in Guangzhou, in order to provide data support and scientific basis for the government to control the proportion of drug income and formulating compensation policies. Methods The revenue data of 34 children healthcare institutions from January 2010 to December 2012 in Guangzhou was collect by a homemade questionnaire,including total revenue, medical and drug revenue and expenditure.The proportion of drug income of hospitals at all levels was analyzed by descriptive research methods. Results (1)The proportion of drug income of pediatrics is generally higher than the average proportion of the whole hospital in Guangzhou, among which the second-class hospitals has the highest proportion of 54.6%,the hospitals below second-class is 44.6%and the tertiary hospitals is 50.2%.The proportion of drug income of outpatient and inpatient of pediatrics accounted for the highest are second-class hospital,37.6% and 65.0% respectively.(2)The total proportion of drug income of pediatric of maternal and child health hospitals at the county level is lower than the counterpart general hospitals,but the proportion of outpatient drug income of the former is much higher than that of the latter,which is up to 69.5%. Conclusion The proportion of drug income of the pediatrics of general hospital is high, which may affect the operation of the pediatrics. To develop new financial compensation policies for the pediatrics of general hospital is the key to keeping the proportion of drug income under control.%目的:调查分析广州市儿科药占比现状,为政府控制药占比、制定儿科补偿政策提供数据支持和科学依据。方法自制调查表收集2010年1月~2012年12月广州市34所有儿科建制的医疗机构的业务收入数据,包括总业务收入、医疗收支、药物收支,运用描述性方法分析各级医院儿科药占比情况。结果(1)各级医院儿科药占比普遍较全院平均药占比高,其中一级及以下医院儿科平均药占比44.1%,二级医院54.6%,三级医院50.2%。儿科门诊及住院药占比最高均为二级医院,分别为37.6%、65.0%。(2)区级妇幼保健院儿科总体药占比低于同等级二级综合医院儿科,但其门诊药占比高于二级综合医院儿科门诊,达69.5%。结论综合医院儿科药占比偏高,影响儿科正常运营,加大政府对综合医院儿科的财政补偿是控制药占比的关键。
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