CAJ | 학술논문

我国的基本药物在30余年中得到了稳步发展,在一定程度上满足了人民基本医疗卫生需求,有效改善了患者在基层医疗机构用药的经济可及性,基本药物制度成为我国现阶段医疗卫生体制改革的重点。但是通过国内文献分析我国基本药物的相关政策和使用现状发现,由于基本药物遴选不尽科学、相关政策法律缺失、相关知识欠缺,医疗卫生机构补偿机制不完善等因素制约,导致基本药物生产供应不足、医疗机构储备较低、医生不愿处方和患者不愿选用等基本药物获得性障碍的现象凸显,造成基本药物制度实施面临较大阻力。建议通过科学制定并及时更新基本药物目录,提高基本药物的可获得性,完善医疗机构＂零差率＂补偿机制等,保障基本药物制度的实施。
아국적기본약물재30여년중득도료은보발전,재일정정도상만족료인민기본의료위생수구,유효개선료환자재기층의료궤구용약적경제가급성,기본약물제도성위아국현계단의료위생체제개혁적중점。단시통과국내문헌분석아국기본약물적상관정책화사용현상발현,유우기본약물린선불진과학、상관정책법률결실、상관지식흠결,의료위생궤구보상궤제불완선등인소제약,도치기본약물생산공응불족、의료궤구저비교저、의생불원처방화환자불원선용등기본약물획득성장애적현상철현,조성기본약물제도실시면림교대조력。건의통과과학제정병급시경신기본약물목록,제고기본약물적가획득성,완선의료궤구＂령차솔＂보상궤제등,보장기본약물제도적실시。
The national essential drugs got steady development in more than 3 decades, to a certain extent, which satisfied the people＇s basic medical health needs, and improved the patients＇ ability to pay for drugs in basic medical institutions effectively. Therefore, the essential drugs system becomes a key of the reform of medical system at present our country. Based on the analysis of the essential drugs policies and application through the domestic literature, we foud that as the unscientific selection of essential drugs, there exist the absent relevant policies, the imperfect compensation mechanism of medical and health institutions, and so on, leading to the availability disorders phenomenon of essential drugs highlighted, such as the inadequate production and supply of essential drugs, the low reserves of medical institutions, the doctors not to be willing to prescribe essential drugs, the patient not to be willing to buy essential drugs, and so on, which hindered the implementation of essential drugs system. This study puts forward the related policy suggestions. The authors believe that we can formulate essential drugs catalogue scientificly and update it timely, and improve the availability, and perfect the compensation method of medical institution drugs zero error rate policy in order to guarantee the implementation of essential drugs system.