江苏省三级医院儿童药品短缺现状调查及建议

发布时间：2018-05-15 04:43

本文选题：儿童药品 + 短缺　；参考：《中国药房》2017年33期

【摘要】：目的:为提高儿童药品的供应保障水平提供参考。方法:对江苏省内13家三级医院的儿童药品短缺情况及原因等进行问卷调查[主要面向各受访医院的药学部主任(或药品采购人员)和临床药师],并就调查数据进行统计和分析,进而提出建议。结果:共发放问卷26份,回收有效问卷26份,有效回收率为100%。13家受访医院儿童专用药品在各自医院药品目录中的占比多数5%;共有82个儿童专用药品品种(含医院制剂),主要的3类为中成药(35.37%)、呼吸系统用药(12.20%),以及维生素、矿物质和肠内肠外营养药(10.98%)。在126种短缺儿童药品中,抗感染药物、抗肿瘤药物、神经系统用药和精神药物、消化系统用药短缺品种最多(均占8.73%)。在儿童药品的短缺原因方面,价格因素(38.10%)、厂家停产(32.54%)及未中标或无供应(13.49%)等为主要原因;价格在0.01~10.00元的低价药品短缺情况最为严重,占全部短缺品种的57.94%。受访者认为专科用药短缺对临床治疗的影响最大(38.46%),其次为解毒药(30.77%)和罕见病治疗药(15.38%)。结论:儿童专用药品在医院药品目录中占比很小,儿童药品短缺受到多种因素影响,且低价药品短缺情况尤其严重,儿童专科用药和解毒药的短缺被认为对临床治疗的影响较大。建议通过制定儿童专用药品保护性政策,改进药品流通环节,促进儿童药物临床试验开展及加强儿童专用药品研发等措施保障儿童药品的供应。
[Abstract]:Objective: to provide reference for improving the supply and security level of children's drugs. Methods: a questionnaire survey was conducted on the situation and causes of children's drug shortage in 13 tertiary hospitals in Jiangsu Province [mainly for pharmaceutical department directors (or drug purchasers) and clinical pharmacists in the hospitals interviewed], and the survey data were analyzed. Conduct statistics and analysis, And then put forward suggestions. Results: 26 questionnaires were distributed and 26 valid questionnaires were collected. The effective recovery rate was 100. 13 hospitals. The proportion of children's drugs in the list of medicines for children in their respective hospitals was 5 percent; there were 82 varieties of drugs for children (including hospital preparations, the main three categories were Chinese patent medicine (TCD) 35.37D, respiratory medicine was 12.20%), and vitamins, Minerals and parenteral nutrition 10.98%. Among 126 kinds of drugs for children, antiinfective drugs, antineoplastic drugs, nervous system drugs and psychotropic drugs, and digestive system drugs were the most common drugs (8.73%). In terms of the reasons for the shortage of children's drugs, the price factor is 38.10%, the manufacturer stops producing 32.54 parts) and the price is not awarded or no supply is 13.49%), and the low price medicine with price of 0.01 or 10.00 yuan is the most serious one, accounting for 57.94% of the total shortage varieties. The interviewees thought that the shortage of specialized drugs had the greatest effect on clinical treatment, followed by detoxification drug 30.77) and rare disease treatment drug 15.38%. Conclusion: the proportion of special drugs for children in the list of hospital drugs is very small. The shortage of children's drugs is affected by many factors, and the shortage of low price drugs is especially serious. Specialized drugs for children and a shortage of poisons are considered to have a greater impact on clinical treatment. It is suggested that some measures should be taken to ensure the supply of children's drugs, such as making protective policies for children's special drugs, improving the circulation of drugs, promoting the development of clinical trials of children's drugs and strengthening the research and development of children's special drugs.
【作者单位】：南京医科大学附属儿童医院;
【基金】：江苏省卫计委药物政策研究课题(No.苏卫办药政[2016]5号)
【分类号】：R95

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