中国卫生政策研究
中國衛生政策研究
중국위생정책연구
CHINESE JOURNAL OF HEALTH POLICY
2014年
6期
41-46
,共6页
武丽娜%魏德宏%陈琛%李元奎%沈倩%周忠良%吕冰%姜明欢%王潇%杨世民%方宇
武麗娜%魏德宏%陳琛%李元奎%瀋倩%週忠良%呂冰%薑明歡%王瀟%楊世民%方宇
무려나%위덕굉%진침%리원규%침천%주충량%려빙%강명환%왕소%양세민%방우
县级医疗机构%基本药物%药品供应%药品短缺
縣級醫療機構%基本藥物%藥品供應%藥品短缺
현급의료궤구%기본약물%약품공응%약품단결
Medical institution at county-level%Essential medicine%Medicine supply%Medicine shortage
目的：：分析陕西省县级医疗机构基本药物的供应与配备情况，为完善相关政策提供依据与建议。方法：采用分层整群随机抽样法抽取陕西省县级医疗机构样本，调研其2012年基本药物的供应与配备情况，主要指标包括基本药物的配备情况、采购金额、缺(断)货情况、中标情况等。结果：陕西省县级医疗机构基本药物配备品种数占所有药品总数的69.1%，基本药物采购金额占药品总采购金额的42.4%，均达到阶段性目标要求；基本药物采购金额前25位的化学药中，省级增补药品占33.9%；采购金额前25位的中成药中，省级增补药品占51.9%，省级增补药品较好地满足了基层用药需求；27家样本机构均存在不同程度的药品缺(断)货现象；并且部分基本药物空标给医疗机构的用药产生了影响。结论：2012年度陕西省县级医疗机构基本药物的供应与配备状况良好，但是药品缺(断)货情况值得重视，建议完善集中采购办法，降低空标率，提高中标率，同时加强基本药品的缺(断)货管理，从而更好地满足基层群众用药需求。
目的：：分析陝西省縣級醫療機構基本藥物的供應與配備情況，為完善相關政策提供依據與建議。方法：採用分層整群隨機抽樣法抽取陝西省縣級醫療機構樣本，調研其2012年基本藥物的供應與配備情況，主要指標包括基本藥物的配備情況、採購金額、缺(斷)貨情況、中標情況等。結果：陝西省縣級醫療機構基本藥物配備品種數佔所有藥品總數的69.1%，基本藥物採購金額佔藥品總採購金額的42.4%，均達到階段性目標要求；基本藥物採購金額前25位的化學藥中，省級增補藥品佔33.9%；採購金額前25位的中成藥中，省級增補藥品佔51.9%，省級增補藥品較好地滿足瞭基層用藥需求；27傢樣本機構均存在不同程度的藥品缺(斷)貨現象；併且部分基本藥物空標給醫療機構的用藥產生瞭影響。結論：2012年度陝西省縣級醫療機構基本藥物的供應與配備狀況良好，但是藥品缺(斷)貨情況值得重視，建議完善集中採購辦法，降低空標率，提高中標率，同時加彊基本藥品的缺(斷)貨管理，從而更好地滿足基層群衆用藥需求。
목적：：분석합서성현급의료궤구기본약물적공응여배비정황，위완선상관정책제공의거여건의。방법：채용분층정군수궤추양법추취합서성현급의료궤구양본，조연기2012년기본약물적공응여배비정황，주요지표포괄기본약물적배비정황、채구금액、결(단)화정황、중표정황등。결과：합서성현급의료궤구기본약물배비품충수점소유약품총수적69.1%，기본약물채구금액점약품총채구금액적42.4%，균체도계단성목표요구；기본약물채구금액전25위적화학약중，성급증보약품점33.9%；채구금액전25위적중성약중，성급증보약품점51.9%，성급증보약품교호지만족료기층용약수구；27가양본궤구균존재불동정도적약품결(단)화현상；병차부분기본약물공표급의료궤구적용약산생료영향。결론：2012년도합서성현급의료궤구기본약물적공응여배비상황량호，단시약품결(단)화정황치득중시，건의완선집중채구판법，강저공표솔，제고중표솔，동시가강기본약품적결(단)화관리，종이경호지만족기층군음용약수구。
Objective: To analyze the essential medicines supply of medical institutions at county-level in Shaanxi Province and to provide empirical evidences and suggestions to improve relevant policies. Methods:A strati-fied cluster random sampling method was used to choose the institution samples. A survey was conducted to study the supply of essential medicines in 2012. Indicators include the variety and amount of essential medicines procured, the medicine shortage condition, and the rate of winning the bid for essential medicine. Results:Essential medicines ac-counted for 69 . 1% of all medicines;and procurement of essential medicines accounted for 42 . 4% of all procurement spending on medicines. Of the top 25 chemical products of essential medicines, provincial supplementary medicines accounted for 33. 9%;and among the top 25 traditional Chinese medicines of essential medicines, the provincial sup-plementary medicines accounted for 51. 9%. All 27 medical institutions faced a shortage of medicines. There were 47 kinds of essential drugs in urgent need were out of bid. Conclusion:Essential medicine supply of medical institutions at county-level is in good condition;however, more attention needs to be paid to medicine shortage. We should take measurements to standardize the process of bidding for essential medicines and strengthen the management of medi-cine shortage in order to better meet patients’ needs.
