辽宁省国家基本药物制度实施现状及其保障措施研究

发布时间：2018-01-22 00:47

本文关键词： 辽宁省国家基本药物制度短缺配备率保障措施建议　出处：《中国药房》2015年33期 　论文类型：期刊论文

【摘要】：目的:为进一步推动辽宁省国家基本药物制度实施提供参考。方法:抽取辽宁省54家样本基层医疗卫生机构,采用文献研究、数据收集和对比分析的方法对基本药物的配备、使用及配送等方面数据进行统计和分析。结果:受访机构2012年和2014年第3季度平均配备基本药物分别为223.8和325.0个品规,配备率分别为42.9%和46.8%;社区卫生服务中心次均门诊处方药品费用2012年和2014年第3季度分别为61.7、62.1元,乡镇卫生院分别为38.1、39.8元,均高于全国平均水平;配送金额排名前24位的生产企业配送金额占总金额的43.00%,有58家生产企业配送金额为0;使用金额排前7位的品种合计占到基本药物使用总金额的25.77%;配送金额排名前4位的配送企业配送金额占总金额的41.27%。结论:辽宁省基层医疗卫生机构存在基本药物的配备率低、价格略高、药品短缺、使用和配送集中度较高等问题。建议配送企业应加强供应链平台建设、优化配送网络、提升配送能力,政府部门在保障生产企业和配送企业的合理利润的同时应加强监督管理及财政支持。
[Abstract]:Objective: to provide a reference for further promoting the implementation of national essential drug system in Liaoning Province. Methods: 54 samples of primary medical and health institutions in Liaoning Province were selected and studied by literature. Methods of data collection and comparative analysis are available for essential drugs. Results: the average availability of essential drugs in 2012 and in the third quarter of 2014 was 223.8 and 325.0 respectively. The ratio of equipping was 42.9% and 46.8 respectively. The average outpatient prescription drug cost of community health service center was 61.7 yuan in 2012 and 62.1 yuan in in the third quarter of 2014, and 38.1% 39.8 yuan in township health center. Are higher than the national average level; The distribution amount of the top 24 production enterprises accounted for 43.00% of the total amount, with 58 enterprises having a distribution amount of 0; The total amount of use of the top 7 varieties accounted for 25.77% of the total amount of essential drug use; The distribution amount of the top 4 distribution enterprises accounted for 41.27% of the total amount. Conclusion: the basic medical and health institutions in Liaoning Province have low allocation rate of essential drugs, slightly higher price and shortage of drugs. It is suggested that distribution enterprises should strengthen the construction of supply chain platform, optimize the distribution network and improve the distribution ability. Government departments should strengthen supervision, management and financial support while safeguarding the reasonable profits of production and distribution enterprises.
【作者单位】：沈阳药科大学工商管理学院;
【分类号】：R95
【正文快照】： 辽宁省于2010年2月开始在沈阳、大连、鞍山、盘锦4市试行国家基本药物制度,2011年9月10日起,全省实施国家基本药物制度的基层医疗卫生机构开始统一执行《辽宁省2011年度基层医疗卫生机构基本药物集中采购中标结果》(以下简称《中标结果》)。辽宁省实施国家基本药物制度4年多以

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