上海市6家一、二级医疗卫生机构门诊药房药品拆零分装现状调查

发布时间：2018-08-15 18:16

【摘要】：目的:为进一步规范和完善门诊药房药品拆零分装管理提供参考。方法:在上海市选取两个区共6家一、二级医疗卫生机构(4家社区卫生服务中心和2家二级医院)就其药品使用情况和门诊药房药品拆零分装开展情况等进行问卷调查,并就调查数据进行统计和分析。结果:共发放机构调查问卷6份、药剂人员调查问卷6份,均全部回收且均为有效问卷,有效回收率均为100%。2015年,受访社区卫生服务中心、二级医院基本药物平均配备品种数分别为496.50、542.00种,平均销售药品品种数分别为530.75、1 052.00种。受访社区卫生服务中心门诊药房拆零药品品种数为10～21种,均为基本药物和甲类医保药物,拆零药品销售额为5.56～16.70万元;2家受访二级医院门诊药房拆零药品品种数分别为17、23种,大多数为基本药物和甲类医保药物,拆零药品销售额分别为13.19、158.06万元;两类受访机构拆零药品品种数占销售药品品种数的比例均不足5%,拆零药品销售额占药品总销售额的比例均不足1%。艾司唑仑片、阿普唑仑片在两类受访机构拆零药品销售额排名中均位列前5。受访机构均未在门诊药房配备自动分包机,仍主要以手工拆零方式进行药品拆零分装;有4家以定期安排拆零为主,拆零频率通常每周1～3次,辅以按需安排拆零,另有2家实行每天拆零;有5家制定了机构内部的拆零工作制度,但相关制度尚不完善。结论:上海市一、二级医疗卫生机构及其药剂人员开展或从事拆零工作的积极性有待提高,拆零药品相关说明书无法按要求提供,拆零方式仍需加以探讨。
[Abstract]:Objective: to provide reference for standardizing and perfecting the management of drug disassembly and packing in outpatient pharmacy. Methods: a questionnaire survey was conducted in two districts of Shanghai, including 4 community health service centers and 2 level II hospitals, on drug use and drug separation in outpatient pharmacies. And carries on the statistics and the analysis to the survey data. Results: there were 6 questionnaires from agencies and 6 questionnaires from pharmacists. All of them were valid questionnaires. The effective recovery rate was 100. 2015. The community health service centers were interviewed. There were 496.50542.00 kinds of essential drugs and 1 052.00 kinds of drugs sold in second-class hospitals. In the outpatient pharmacy of the community health service center, there were 10 or 21 kinds of drugs, all of which were essential drugs and class A medical insurance drugs. The sales volume of zero-removal drugs was 5.56 ~ 167000 yuan RMB. The number of drugs removed from 2 outpatient pharmacies of second-level hospitals was 170.23, most of which were essential drugs and A type of medical insurance drugs, and the sales of zero-removal drugs were 13.1,98.06 million yuan respectively. The number of drugs sold by the two types of organizations is less than 5%, and the ratio of the total sales of drugs to the total sales of drugs is less than 1%. Estrazolam tablets and alprazolam tablets were among the top 5 in both categories of drug sales. None of the organizations surveyed were equipped with automatic subcontracting machines in outpatient pharmacies, and still carried out drug scrapping and reloading mainly by manual zero removal. Four of them were mainly arranged to remove drugs on a regular basis, and the frequency of zero removal was usually 1 / 3 times a week, supplemented by the arrangement of zero removal on demand. The other 2 have implemented daily zero dismantling, and 5 have formulated the internal work system, but the related system is not perfect. Conclusion: the enthusiasm of the first and second level medical and health institutions and their medicament personnel to carry out or engage in the work of zero removal needs to be improved. The related instructions of zero removal drugs cannot be provided as required, and the mode of zero removal still needs to be explored.
【作者单位】：复旦大学公共卫生学院;国家卫生计生委卫生技术评估重点实验室;健康风险预警治理协同创新中心;国家卫生计生委药物政策与基本药物制度司;上海市卫生计生委药政管理处;
【基金】：国家卫生计生委药政司委托研究课题(No.药政[2016]1号)
【分类号】：R952

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