The impact of separating drug sales from medical services reform on the operation of tertiary general hospital in Beijing:Case study of R hospital / 中国卫生政策研究

ABSTRACT

Objective:To empirically evaluate the impact of the reform of separating drug sales from medical services reform on the operation of public hospitals in Beijing. Methods:Taking R hospital as a case study,Twenty-six clinical departments were selected as samples, and the indicators which have significant change after medical reform were analyzed by descriptive statistics,Pairing test,Correlation test and Spearman correlation test. 24 tested indicators included workload,cost and medication behavior. Results:After the Beijing medical reform between May to September 2017,and from May to September 2016, R hospital workload and cost indicators changed in varying degrees. There were differences between the two groups in terms of the internal medicine and surgery,and the medi-cation behavior had no significant change. Conclusion:The effect of Beijing's healthcare reform policy is obvious. R hospital has the trend of decreasing outpatient volume, drug proportion and medical insurance costs. The medical reform policy may have a profound impact on the development of the clinical subject.