内蒙古地区基本药物配送现状及对策研究

发布时间：2018-12-10 20:44

【摘要】：为建立中国特色医药卫生体制,中共中央、国务院向社会公布了《关于深化医药卫生体制改革的意见》。把基本医疗卫生体制作为公共产品向全民提供。国家基本药物制度是深化医药卫生体制改革的重点工作之一。而配送作为实施国家基本药物制度的一个重要环节,对国家基本药物供应保障体系起着至关重要的作用。本文以内蒙古地区药品经营企业和基层医疗卫生机构作为研究对象,就内蒙古地区基本药物配送问题进行研究,指出由于存在着基本药物网上集中采购单一货源供货,基层基本药物使用量少,配送成本高而配送费率固定,药品生产和配送企业积极性不高,配送模式及企业规模限制、回款不及时等影响因素,内蒙古地区基本药物配送客观上存在着供应基层不及时、不足量、品种不全等问题。针对上述问题,本文提出,要借鉴基本药配送过程中所积累的经验,加强基本药物实施的协调工作,注重政策衔接,加强行政监管落实各方责任,完善内蒙古地区基本药物采购体系建设,进一步规范工作模式和业务流程,确保基本药物质量安全和供应安全,逐步建立比较完善的基本药物供应体系,减轻社会医药费用负担,为深化医药卫生体制改革服务
[Abstract]:In order to establish the medical and health system with Chinese characteristics, the CPC Central Committee and the State Council announced to the society the opinions on deepening the Reform of the Medical and Health system. The basic medical and health system should be provided to the whole people as public goods. The national essential drug system is one of the key tasks in deepening the reform of the medical and health system. As an important part of the national essential drug system, distribution plays an important role in the national essential drug supply system. This paper studies the distribution of essential drugs in Inner Mongolia with drug trading enterprises and primary medical and health institutions in Inner Mongolia, and points out that there is a single source supply of essential drugs online. Such factors as low use of basic drugs at the grass-roots level, high distribution costs and fixed distribution rates, low enthusiasm of drug production and distribution enterprises, limited distribution patterns and enterprise size, and lack of timely payment back, etc. The distribution of essential drugs in Inner Mongolia has some problems, such as untimely supply, insufficient quantity, incomplete variety and so on. In view of the above problems, this paper suggests that we should draw lessons from the experience accumulated in the distribution of essential drugs, strengthen the coordination of the implementation of essential drugs, pay attention to policy convergence, strengthen administrative supervision and implement the responsibilities of all parties. To improve the construction of the procurement system for essential drugs in Inner Mongolia, to further standardize work patterns and business processes, to ensure the quality safety and supply safety of essential drugs, and to gradually establish a relatively perfect basic drug supply system. Lighten the burden of social medicine expenses and serve for deepening the reform of the medical and health system
【学位授予单位】：内蒙古大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R95

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