中文摘要：

目的：研究基本药物制度实施前后,山东省某市乡镇卫生院业务量相关指标变化情况。方法：通过关键指标匹配法选取与试点卫生院相似的卫生院作为对照,利用倍差法,研究乡镇卫生院年门诊人次、年出院人次、年占用床位数、平均住院日和年化验人次数等的变化情况。结果：利用倍差法分析后发现,处理组乡镇卫生院门诊人次数下降1 902人次,出院人次数下降701.71人次;化验人次数增加1 380.86人次,卫生技术人员年均担负出院人次下降26.36人次。结论：在基本药物制度影响下,乡镇卫生院的医疗服务量及住院服务服务量均有所下降,建议采取加大财政补偿力度、制定合理的激励方案和完善基本药物采购配送,来调度医务人员基本医疗服务积极性,提升乡镇卫生院基本医疗服务能力。

英文摘要：

Objective：To analyze the changing indicators of business quantity in township hospitals of a city of Shandong after the implementation of essential medicine system.Methods：Through choosing health centers similar to pilot health centers based on key indicator matching method,difference in difference method was used to analyze the changing status of annual outpatient visits,annual discharged number,annual bed number,average inpatient day and annual number of taking test.Results：According to the analysis of difference in difference,it was found that,in treatment group,the outpatient visit of township hospitals dcreased 1 902 person,the discharged number decreased 701.71 person; the number of taking tests increased 1 380.86 person,the average burden of discharged number for medical technical personnel decreased 26.36 person.Conclusion：Under the impact of the implementation of essential medicine system,the quantity of medical services and service quantity of hospitalization services all decreased. It is suggested to increase fiscal compensation degree,design reasonable incentive scheme,implement essential medicine purchasing and delivery,promote the initiation of basic medical services of medical staffs and promote the basic medical service capacity of township hospital.