Abstract
Objective: Investigation of the impact of the reform of urban public hospitals in cancelling drug price addition on public hospitals’ operations and patient personal burdens, providing data support for the comprehensive reform of urban public hospitals. Methods: Using Excel 2007, the overall operation of the hospital, the workload of medical staff in the internal and external departments, the proportion of medicines, and the burden of medicines for patients were analyzed before and after the cancellation of drug sales in a public hospital. Results: The cancellation of drug price additions had little effect on the outpatient visits of the hospital, and had a greater impact on the hospital’s income structure and patient’s consumption structure. Conclusion: Simply relying on the cancellation of drug price addition cannot effectively adjust the structural contradiction of medical service prices in the reform of public hospitals in the urban areas. The transformation of medical institutions from “drug dependent doctors” to “doctors dependent doctors” requires the strengthening of hospital internal management, so that supporting medicine price reforms will ultimately improve the overall quality and efficiency of the hospital.
Highlights
At the end of 2016, the Chinese government began to reform the medical and health system, and made many decisions to adjust the income of medical institutions, which affected people’s medical consumption
Cancelling drug price addition and breaking the mechanism of “doctors depend on drug” will be an important part of the medical reform
Data before and after the reform show that the workload of internal medicine and surgical outpatient service in hospitals tends to be stable after cancelling drug price addition
Summary
At the end of 2016, the Chinese government began to reform the medical and health system, and made many decisions to adjust the income of medical institutions, which affected people’s medical consumption. Cancelling drug price addition and breaking the mechanism of “doctors depend on drug” will be an important part of the medical reform. Through comparative analysis of the three years of operation data before and after the reform of the only third-grade class-A hospital in Zhangjiakou city (The First Affiliated Hospital of Hebei North University). Comparative analysis of changes in income, medical staff workload and patient consumption structure of public hospitals before and after drug price addition cancellation; describe the effect and effectiveness of the reform on public hospitals
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
