摘要
目的:为保障短缺药品供应提供参考。方法:采用问卷调查方式对全国40家医疗卫生机构的药品短缺情况进行实地调查,基于调查数据构建计量模型对医疗卫生机构药品短缺原因进行实证分析。结果:共发放问卷40份,回收有效问卷26份,有效回收率为65.0%。受访机构中共获得87个短缺药品样本,涉及33种药品;82.8%的短缺药品样本的短缺时间超过3个月,甚至有21.8%短缺时间超过12个月。导致药品短缺程度更高的共性原因主要为:未进入省级招标目录、采用政府定价方式、存在调剂使用机制和未设立省级常态化储备机制。除共性原因外,导致药品短缺程度更高尚有基于临床需求必要性、基于药品属性(常用、罕见)、基于药品价格等方面的一些个性原因。结论:影响医疗卫生机构药品短缺程度的原因有多种,其中既有共性原因也有个性原因,要从源头解决药品短缺问题需要多方面的政策和制度配合实施。
OBJECTIVE ： To provide reference for guarantee the supply of short-landed drugs. METHODS： A questionnaire sur- vey was conducted to investigate the drug shortage in 40 medical institutions in China. Based on the survey data, the econometric model was built to analyze the reasons for drug shortage in medical institutions. RESULTS： 40 questionnaires were issued and 26 valid questionnaires were collected with effective recovery rate of 65.0%. The institutions surveyed received 87 samples of short-landed drugs, involving 33 drugs; 82.8% of short-landed drug samples were in short supply for more than 3 months, and even 21.8% short-landed drug samples were in short supply for more than 12 months. The common reasons for drug shortage main- ly included： not entering the provincial bidding directory; adopting the government pricing method; being redistribution system; not establishing provincial normal reserve mechanism. In addition to common reasons, there were some personality reasons for drug shortage based on the necessity of clinical needs, drug attributes and drug price. CONCLUSIONS： There are many reasons for the shortage of drugs in medical institutions. There are both common causes and personality reasons. It is necessary to solve many prob- lems of drug shortage from the source, and it needs many policies and systems to cooperate with them.
出处
《中国药房》
CAS
北大核心
2017年第27期3754-3758,共5页
China Pharmacy
基金
工信部课题资助项目(No.X153030)
关键词
医疗卫生机构
药品短缺
调查
实证分析
Medical institutions
Drug shortage
Investigation
Empirical analysis
