中文摘要：

目的：通过对基本药物制度实施前后乡镇卫生院药品收入等关键指标变化趋势进行比较分析,为改善基本药物制度政策提供政策建议。方法：采用整群抽样的方法抽取河南省5个县共89所乡镇卫生院作为研究对象,收集实施基本药物制度之后的关键指标进行统计分析。结果：实施基本药物制度3年后,患者在乡镇医疗机构就医的经济负担得到了较大幅度缓解。药品收入占总收入的百分比以及次均门诊药品费用占次均门诊费用的百分比与2009年相比,分别下降了31.38%和23.03%,财政补助收入占总收入的比重呈现上升趋势,2012年与2009年相比,增加了125.53%。住院人次数经历两年明显的下降后出现回升,但每医生日均床位数仍然下降了12.8%。结论：基本药物制度在该省实施后,药占比以及居民个人药品费用负担得到缓解。

英文摘要：

Objective：To perform comparative analysis on the key indicators such asdrug income of township institutions beforeand after the implementation of essential medicine system, so as to provide political suggestions for improving essential medicine sys-tem.Methods：89 township hospitals out of 5 counties of Henan were selected as object of study by cluster sampling, key indicatorswere collected by to perform statics analysis after the implementation of essential medicine system.Results：3 years after the imple-mentation of essential medicine system, the economic burden of patients getting treated in township medical institutions received rela-tive larger release. Compared to 2009, the percentage of medicine income in total income and the percentage of average per time outpa-tient medicine cost in average per time outpatient expansion, decreased by 31.38% and 23.03% respectively, the ratio of medicine in-come showed increasing trend. Compared to 2009, the percentage of 2012 increased by 125.53%. However, after 2 years＇ obvious de-crease of outpatient person number, each doctor＇s average bed number decreased by 12.8%.Conclusion：After the implementation ofessential medicine system in the province, the percentage of medicine and the resident personal medicine expense burden got released.