摘要
目的为国家基本药物目录的动态调整和优化提供参考和建议。方法对国家基本药物目录(2018年版)收载药品(西药部分)在河南省公共资源交易中心医药采购平台中的挂网情况进行统计分析,筛选出未挂网和独家挂网的基本药物。结果2018年版目录中共有146个规格(涉及100个品种)未在河南省公共资源交易中心医药采购平台中挂网。其中,整个品种未挂网的国家基本药物共有10个,某一大类剂型整体未挂网的国家基本药物共有4个。另外,整个品种名称下只有1个规格挂网,且为生产企业独家挂网的国家基本药物共有44个。结论造成国家基本药物在整个河南省未挂网采购的原因可能与药品供应出现短缺或临床实际需求减少有关。对于易发生短缺的基本药物,医疗机构和各级卫生健康行政部门应加强监测和分类应对。而对于临床实际需求减少,经评价后认为不适宜作为国家基本药物的,建议在国家基本药物目录动态调整时予以调出。
OBJECTIVE To provide references and suggestions for the dynamic adjustment and optimization of National Essential Medicines List.METHODS Statistics and analysis were carried out of the online bidding procurement of the western medicines in National Essential Medicines List(2018 Edition)on the Pharmaceutical Procurement Platform of Henan Province Public Resources Trading Center.Screen out those that could not be procured online and could be procured from only one manufacturer.RESULTS A total of 146 strengths of 100 medicines in National Essential Medicines List(2018 Edition)could not be procured on the Henan Province Pharmaceutical Procurement Platform.Among them,10 national essential medicines involving their all dosage forms and formats could not be procured online.One certain main sort of dosage forms of 4 national essential medicines could not be procured online.Besides,for 44 national essential medicines,there were only one strength can be procured from only one manufacturer.CONCLUSION Reasons for national essential medicines cannot be procured on the Henan Province Pharmaceutical Procurement Platform may be the shortage of pharmaceutical supplies or the reduction of clinical need.As to supply shortage,medical institutions and health administrative departments should strengthen monitoring and classified response.Meanwhile,medicines assessed to be not suitable as national essential medicines shall be removed from the National Essential Medicines List in subsequent dynamic adjustments.
作者
曹凯
钱佩佩
刘伟
杨健
杨帅
赵亮
兰为民
兰丙欣
CAO Kai;QIAN Peipei;LIU Wei;YANG Jian;YANG Shuai;ZHAO Liang;LAN Weimin;LAN Bingxin(Xuchang Central Hospital Affiliated to Henan University of Science and Technology,Xuchang 461000,China;College of Pharmacy,Zhengzhou University,Zhengzhou 450001,China;Shangqiu Medical College,Shangqiu 476100,China;Sinopharm Holding Henan Co.,Ltd.,Xuchang Branch,Xuchang 461000,China)
出处
《中国现代应用药学》
CAS
CSCD
北大核心
2020年第19期2414-2419,共6页
Chinese Journal of Modern Applied Pharmacy
关键词
国家基本药物目录
集中采购
挂网
药品短缺
national essential medicines list
centralized procurement
online bidding
drug shortage
