中文摘要：

目的：分析基本药物制度对基层医疗机构收入结构的影响。方法：对山西省实施基本药物制度的58家乡镇卫生院的收入状况与结构变化趋势进行分析。结果：随着政府对基层医疗机构投入的增加，基本药物制度基本实现全覆盖，基本药物收入占药品收入比重从2009年的20．45％上升到2013年97．03％，药品收入占总收入的比重下降了18．4％；与此同时，财政补助收入占总收入的比重从2009年的25．77％上升到2013年的54．16％，但业务收入占总收入比重总体呈下降趋势。结论：基本药物制度需要政府财政的大力支持，在进一步完善基层基本药物清单和基层财政补助政策的同时，完善医生薪酬和激励机制并改革不合理的医生劳务定价和补偿机制。

英文摘要：

Objective ： To analyze the effects of essential medicine system on revenue structures at primary med- ical institutions. Methods：Data on revenue status and structures from 58 township health centers in Shanxi Province was collected to analyze changes and trends. Results： Along with growing government investments in primary medical institutions, the essential medicine system has fundamentally realized full coverage. The percentage of essential medi- cine revenue to pharmaceutical revenue rose from 20.45% in 2009 to 97.03% in 2013, though the percentage of pharmaceutical revenue to total revenue dropped by 18.43%. The percentage of fiscal subsidy revenue in total reve- nue rose from 25.77% in 2009 to 54. 16% in 2013, though the percentage of business revenue to total revenue dropped in general. Conclusions： The essential medicine system requires the government＇s financial support. Essen- tial medicine lists and primary financial aid policies should be further improved; doctor reimbursement and incentive mechanisms should be improved as well and unreasonable doctor service pricing and reimbursement mechanisms should be reformed.