宁夏基本药物可及度指标性评价研究
发布时间：2019-01-04 22:53
【摘要】：研究目标： 本研究以基本药物政策为基础，选择代表性指标建立基本药物可及度评价指标体系，为基本药物可及度的评价提供一套量化考评依据，并选择宁夏地区的样本医院对该指标体系进行实证，探讨宁夏基本药物政策在实施过程中存在的问题，为基本药物制度更好的发展提供有益的参考。 研究内容： 1.宁夏基本药物可及度评价指标的选择及体系建立； 2.评价指标体系的权重计算； 3.宁夏基本药物可及度评价指标体系实证； 4.探讨宁夏基本药物政策实施过程中存在的问题，提出建议。 研究方法： 本研究主要运用文献复习法和德尔菲法建立宁夏基本药物可及度评价指标体系，运用层次分析法计算各级指标权重并进行量化，最后运用问卷调查法对该指标体系进行实证。 研究结果： 1.专家咨询结果 1.1专家权威系数 地理、经济和技术三个一级指标的权威系数分别为0.78、0.76和0.76，，平均值为0.77，权威系数较高。 1.2专家协调系数 经过两轮专家咨询后，整个指标体系的协调系数分别为0.40，地理、经济和技术指标的协调系数分别为0.43、0.33和0.45，卡方检验结果均为P＜0.05，专家意见协调程度较高。 1.3指标权重与百分制分值 一级指标地理、经济和技术权重系数分别为0.14、0.28和0.58。根据三级指标的组合权重系数，赋予三级指标分值，总分为100分。 2.样本实证 通过样本实证，计算4个样本县的百分值，结果显示总体上得分最高的为贺兰县，92.03分；得分最低为同心县，86.44分。各县总体得分和排序与实际情况较为一致，4个县的得分都超过了80.00分，说明4个县的基本药物可及性程度都很高，居民在基本药物的可及性上不存在问题。 建议： 1.医疗机构不常用的药品 “磷霉素钠粉针”、“盐酸普鲁卡因注射液”、“氟哌啶醇注射液”等，建议卫生行政部门可以将这些药品移除或替换。 2.经常缺货的药品 “阿莫西林胶囊”、“三七胶囊”、“尼莫地平片”等，建议药厂能够多生产这些药品来保证供应，卫生行政部门也要给予监督。 3.建议增补的药品 建议将“健胃消食片”、“小儿健胃消食片”、“大山楂丸”等20种药品增补到宁夏基本药物目录中。
[Abstract]:Objective: based on the basic drug policy, this study selected representative indicators to establish the evaluation index system of essential drug accessibility, and provided a set of quantitative evaluation basis for the evaluation of essential drug accessibility. The sample hospitals in Ningxia are selected to demonstrate the index system to discuss the problems existing in the implementation of the essential drug policy in Ningxia and to provide a useful reference for the better development of the essential drug system. Research content: 1. Selection and Establishment of Evaluation Index of essential Drug accessibility in Ningxia; 2. Weight calculation of evaluation index system; 3. Ningxia essential drug accessibility evaluation index system empirical; 4. This paper discusses the problems existing in the implementation of essential drug policy in Ningxia and puts forward some suggestions. Methods: this study mainly used literature review method and Delphi method to establish Ningxia essential drug accessibility evaluation index system. AHP was used to calculate and quantify the index weights at all levels. Finally, the questionnaire survey method is used to carry on the demonstration to this index system. Results: 1. Results of expert consultation 1.1 the authoritative coefficients of the three primary indexes of geography, economy and technology are 0.780.76 and 0.76, respectively. The average value is 0.77, and the authority coefficient is higher. 1.2 after two rounds of expert consultation, the coordination coefficient of the whole index system is 0.40, and the coordination coefficient of geographical, economic and technical indicators is 0.430.33 and 0.45, respectively. The results of chi-square test were all P < 0.05, and the degree of coordination of expert opinions was higher. 1.3 the geographical, economic and technical weight coefficients of the first grade index are 0.140.28 and 0.58 respectively. According to the combined weight coefficient of the three-level index, give the third-level index score, the total score is 100. 2. The results show that the highest score is Helan County with 92.03 points, and the lowest score is Tongxin County with 86.44 points. The total score and ranking of the four counties were consistent with the actual situation, and the scores of the four counties exceeded 80.00points, which indicated that the accessibility of essential drugs was very high in the four counties, and there was no problem in the accessibility of essential drugs in the residents. Recommendations: 1. The less commonly used drugs in medical institutions, such as "fosfomycin sodium powder", "procaine hydrochloride injection", "haloperidol injection", etc., suggest that the health administration department may remove or replace these drugs. 2. "Amoxicillin capsule", "Panax notoginseng capsule", "nimodipine tablet" and so on are often out of stock. It is suggested that the pharmaceutical factory should produce more of these drugs to ensure their supply, and the health administration department should also supervise them. 3. It is suggested that 20 kinds of drugs, such as "Jianwei Xiaoshi tablet", "Children Jianwei Xiaoshi tablet" and "Dashanhaw Pill", should be added to Ningxia essential drugs catalogue.
【学位授予单位】：宁夏医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R95
本文编号：2400902
[Abstract]:Objective: based on the basic drug policy, this study selected representative indicators to establish the evaluation index system of essential drug accessibility, and provided a set of quantitative evaluation basis for the evaluation of essential drug accessibility. The sample hospitals in Ningxia are selected to demonstrate the index system to discuss the problems existing in the implementation of the essential drug policy in Ningxia and to provide a useful reference for the better development of the essential drug system. Research content: 1. Selection and Establishment of Evaluation Index of essential Drug accessibility in Ningxia; 2. Weight calculation of evaluation index system; 3. Ningxia essential drug accessibility evaluation index system empirical; 4. This paper discusses the problems existing in the implementation of essential drug policy in Ningxia and puts forward some suggestions. Methods: this study mainly used literature review method and Delphi method to establish Ningxia essential drug accessibility evaluation index system. AHP was used to calculate and quantify the index weights at all levels. Finally, the questionnaire survey method is used to carry on the demonstration to this index system. Results: 1. Results of expert consultation 1.1 the authoritative coefficients of the three primary indexes of geography, economy and technology are 0.780.76 and 0.76, respectively. The average value is 0.77, and the authority coefficient is higher. 1.2 after two rounds of expert consultation, the coordination coefficient of the whole index system is 0.40, and the coordination coefficient of geographical, economic and technical indicators is 0.430.33 and 0.45, respectively. The results of chi-square test were all P < 0.05, and the degree of coordination of expert opinions was higher. 1.3 the geographical, economic and technical weight coefficients of the first grade index are 0.140.28 and 0.58 respectively. According to the combined weight coefficient of the three-level index, give the third-level index score, the total score is 100. 2. The results show that the highest score is Helan County with 92.03 points, and the lowest score is Tongxin County with 86.44 points. The total score and ranking of the four counties were consistent with the actual situation, and the scores of the four counties exceeded 80.00points, which indicated that the accessibility of essential drugs was very high in the four counties, and there was no problem in the accessibility of essential drugs in the residents. Recommendations: 1. The less commonly used drugs in medical institutions, such as "fosfomycin sodium powder", "procaine hydrochloride injection", "haloperidol injection", etc., suggest that the health administration department may remove or replace these drugs. 2. "Amoxicillin capsule", "Panax notoginseng capsule", "nimodipine tablet" and so on are often out of stock. It is suggested that the pharmaceutical factory should produce more of these drugs to ensure their supply, and the health administration department should also supervise them. 3. It is suggested that 20 kinds of drugs, such as "Jianwei Xiaoshi tablet", "Children Jianwei Xiaoshi tablet" and "Dashanhaw Pill", should be added to Ningxia essential drugs catalogue.
【学位授予单位】：宁夏医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R95
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1 虎翼;宁夏基本药物可及度指标性评价研究[D];宁夏医科大学;2014年
本文编号：2400902
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