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	Intended And Unintended Consequences Of China's Zero Markup Drug Policy
	Yi H. M.; Miller, G.; Zhang, L. X.; Li, S. P.; Rozelle, S.
	2015
关键词	cooperative medical scheme township health centers primary-care rural china province system performance incentives medicines reform
英文摘要	Since economic liberalization in the late 1970s, China's health care providers have grown heavily reliant on revenue from drugs, which they both prescribe and sell. To curb abuse and to promote the availability, safety, and appropriate use of essential drugs, China introduced its national essential drug list in 2009 and implemented a zero markup policy designed to decouple provider compensation from drug prescription and sales. We collected and analyzed representative data from China's township health centers and their catchment-area populations both before and after the reform. We found large reductions in drug revenue, as intended by policy makers. However, we also found a doubling of inpatient care that appeared to be driven by supply, instead of demand. Thus, the reform had an important unintended consequence: China's health care providers have sought new, potentially inappropriate, forms of revenue.
出处	Health Affairs
卷	34
期	8
页	1391-1398
收录类别	SCI
语种	英语
ISSN号	0278-2715
内容类型	SCI/SSCI论文
源URL	[http://ir.igsnrr.ac.cn/handle/311030/38998]
专题	地理科学与资源研究所_历年回溯文献
推荐引用方式 GB/T 7714	Yi H. M.,Miller, G.,Zhang, L. X.,et al. Intended And Unintended Consequences Of China's Zero Markup Drug Policy. 2015.

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