中国药事
中國藥事
중국약사
CHINESE PHARMACEUTICAL AFFAIRS
2014年
11期
1173-1177
,共5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
基层医疗卫生机构%基本药物制度%药品供应与配备%合理用药
基層醫療衛生機構%基本藥物製度%藥品供應與配備%閤理用藥
기층의료위생궤구%기본약물제도%약품공응여배비%합리용약
grassroots medical institutions%Essential Medicine Policy%medicine supply%rational drug use
目的：分析陕西省基层医疗机构基本药物制度实施情况，为完善相关政策提供实证依据与对策建议。方法采用分层抽样的方法选取陕西省基层医疗机构样本，监测陕西省2012年基层医疗机构基本药物制度实施情况，具体指标包括样本医疗机构基本药物的配备、采购、缺断货、中标情况以及合理用药等。结果陕西省基层医疗机构基本药物的配备率为100%。所配备的基本药物中，按品种计，国家基本药物、陕西省增补基本药物和陕西省县区增补的基本药物所占的比例依次为67.2%、26.0%、6.8%；陕西省基层医疗机构基本药物采购金额中，国家基本药物、陕西省增补基本药物和陕西省县区增补基本药物所占的比例依次为67.5%、23.5%、9.0%；80%的样本机构存在不同程度的药品缺(断)货情况；基本药物招标尚存在一些问题。陕西省基层医疗机构合理用药的各项指标情况：注射类药物处方率为27%，二联及以上抗菌药物处方率为12%，激素类药物的处方率为6%。结论陕西省基层医疗机构基本药物的采购和配备情况良好，但是多数机构存在不同程度的药品缺(断)货现象，合理用药水平还需进一步提高。建议不断加强药品供应监督管理，做好药品招标采购和缺(断)货的管理工作，加大基本药物宣传力度，提高基层医疗机构合理用药水平，促进基本药物制度的不断巩固和完善，使其更加惠及百姓。
目的：分析陝西省基層醫療機構基本藥物製度實施情況，為完善相關政策提供實證依據與對策建議。方法採用分層抽樣的方法選取陝西省基層醫療機構樣本，鑑測陝西省2012年基層醫療機構基本藥物製度實施情況，具體指標包括樣本醫療機構基本藥物的配備、採購、缺斷貨、中標情況以及閤理用藥等。結果陝西省基層醫療機構基本藥物的配備率為100%。所配備的基本藥物中，按品種計，國傢基本藥物、陝西省增補基本藥物和陝西省縣區增補的基本藥物所佔的比例依次為67.2%、26.0%、6.8%；陝西省基層醫療機構基本藥物採購金額中，國傢基本藥物、陝西省增補基本藥物和陝西省縣區增補基本藥物所佔的比例依次為67.5%、23.5%、9.0%；80%的樣本機構存在不同程度的藥品缺(斷)貨情況；基本藥物招標尚存在一些問題。陝西省基層醫療機構閤理用藥的各項指標情況：註射類藥物處方率為27%，二聯及以上抗菌藥物處方率為12%，激素類藥物的處方率為6%。結論陝西省基層醫療機構基本藥物的採購和配備情況良好，但是多數機構存在不同程度的藥品缺(斷)貨現象，閤理用藥水平還需進一步提高。建議不斷加彊藥品供應鑑督管理，做好藥品招標採購和缺(斷)貨的管理工作，加大基本藥物宣傳力度，提高基層醫療機構閤理用藥水平，促進基本藥物製度的不斷鞏固和完善，使其更加惠及百姓。
목적：분석합서성기층의료궤구기본약물제도실시정황，위완선상관정책제공실증의거여대책건의。방법채용분층추양적방법선취합서성기층의료궤구양본，감측합서성2012년기층의료궤구기본약물제도실시정황，구체지표포괄양본의료궤구기본약물적배비、채구、결단화、중표정황이급합리용약등。결과합서성기층의료궤구기본약물적배비솔위100%。소배비적기본약물중，안품충계，국가기본약물、합서성증보기본약물화합서성현구증보적기본약물소점적비례의차위67.2%、26.0%、6.8%；합서성기층의료궤구기본약물채구금액중，국가기본약물、합서성증보기본약물화합서성현구증보기본약물소점적비례의차위67.5%、23.5%、9.0%；80%적양본궤구존재불동정도적약품결(단)화정황；기본약물초표상존재일사문제。합서성기층의료궤구합리용약적각항지표정황：주사류약물처방솔위27%，이련급이상항균약물처방솔위12%，격소류약물적처방솔위6%。결론합서성기층의료궤구기본약물적채구화배비정황량호，단시다수궤구존재불동정도적약품결(단)화현상，합리용약수평환수진일보제고。건의불단가강약품공응감독관리，주호약품초표채구화결(단)화적관리공작，가대기본약물선전력도，제고기층의료궤구합리용약수평，촉진기본약물제도적불단공고화완선，사기경가혜급백성。
Objective To analyze the implementation of Essential Medicine Policy in grassroots medical institutions in Shaanxi Province,and to provide empirical evidence and suggestions to improve relevant policies.Methods Stratified random sampling method was used to choose the institution samples, and questionnaire survey was conducted to study the implementation of Essential Medicine Policy in 2012. Indicators included the variety and amount of essential medicines procured, the medicine shortage condition and the rate of winning the bid for essential medicine and more information about rational drug use.Results In the sample grassroots medical institutions,the rate of essential medcines equipping amounted to 100%.As for the variety of essential medicines, national, provincial and county-level essential medicines accounted for 67.2%, 26.0% and 6.8%, respectively;the percentages of procurement amount of national essential medicines, provincial and county-level essential medicines were 67.5%, 23.5% and 9.0%, respectively.Totally 80% of grassroots medical institutions faced the shortage of medicines in different extent. There were 35 kinds of essential drugs in urgent needs that were out of bid;the ratios of injection prescriptions, prescriptions with two or more combined use of antibiotics and steroids prescriptions in all prescriptions were 27%, 12% and 6%,respectively.Conclusion The medicine supply and procurement in grassroots medical institutions are in good condition,however,more attention needs to be paid to medicine shortage and rational drug use.We should take measurements to strengthen supervision and management of drug supply and increase publicity of rational drug use and essential medicines in grassroots medical institutions to improve the implementation of Essential Medicine Policy which will finally benefit people.
