上海、云南两地基本药物政策实施的部分影响因素对比分析

发布时间：2019-04-15 12:41

【摘要】：目的寻找影响基本药物制度实施的因素,为保障基本药物稳定供应提供探索性建议。方法对上海和云南两地的生产企业、流通企业、基层医疗等相关部门进行实地访谈及问卷调查,运用因子分析和多重回归的方法筛选两地基本药物供应保障的关键影响因素指标,并对各因素的影响程度分布进行对比分析。结果配送、信息、招标采购、量价需求等相关因素对基本药物政策的实施有较大的影响作用。其中,上海地区认为存在虚假信息、对首仿药和原研药等创新型产品不公平等问题较为突出,云南地区认为当地信息发布滞后、配送不及时、品种不能满足需求等问题较为典型。结论建议在优化行业重组模式、拓宽准入范围的基础上保证信息的及时公开、透明,从而提高配送效率、鼓励市场充分竞争,同时增加政策的知晓率,保证基本药物在不同地区的有效供应。
[Abstract]:Objective to find out the factors affecting the implementation of essential drug system and to provide exploratory suggestions for ensuring the stable supply of essential drugs. Methods on-the-spot interviews and questionnaires were conducted among the production enterprises, circulation enterprises, primary medical care departments in Shanghai and Yunnan. Factor analysis and multiple regression were used to screen the key factors affecting the supply security of essential drugs in the two places, and the distribution of the influence degree of each factor was compared and analyzed. Results the related factors such as distribution, information, bidding and purchasing, demand for quantity and price had great influence on the implementation of essential drug policy. Among them, the Shanghai region believes that there is false information, and unfair to innovative products, such as the first drug imitation and the original drug research, and other issues are more prominent. Yunnan region believes that the local information release is lagging behind, and the distribution is not timely. The variety can not meet the demand and other problems are more typical. Conclusion it is suggested that the information should be open and transparent on the basis of optimizing the mode of industry restructuring and widening the scope of access, so as to improve the efficiency of distribution, encourage full competition in the market, and increase the rate of awareness of policies at the same time. Ensure the effective supply of essential drugs in different areas.
【作者单位】：中国药科大学国际医药商学院;昆明医科大学药学院暨云南省天然药物药理重点实验室;
【基金】：国家社会科学基金(14BGL144)
【分类号】：R951

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