摘要
通过调查南京市应急药品可及性状况,为完善应对突发公共卫生事件的应急药品保障政策提供依据。基于世界卫生组织(WHO)/国际健康行动组织(HAI)标准调查法,评价52种应急药品2013—2018年在南京市不同等级医疗机构的可及性。应急药品总体可获得性高于50%,呈上升趋势;不同等级医疗机构的可获得性存在统计学差异(P<0.001),基层医疗机构应急药品可获得性最低,为26.60%~39.60%;Laspeyres价格指数逐年上升,2018年药品价格是2013年的4.8倍;可负担性总体良好,城镇居民可负担性优于农村居民。建议政府部门加强应急药品储备建设机制,充分发挥基层医疗机构的作用,完善药品价格形成机制,制定国家应急药品目录。
By investigating the availability of emergency drugs in Nanjing medical institutions,it provides a basis for improving the policy of emergency drug supply guarantee in response to public health emergencies.Based on the World Health Organization(WHO)and the International Health Initiative(HAI)standard survey method,accessibility from 2013 to 2018 of 52 emergency drugs in different medical institutions in Nanjing city was evaluated.The overall availability of emergency drugs was higher than 50%,showing an upward trend,there were statistical differences in the availability of different levels of medical institutions(P<0.001),and the availability in primary medical institutions was the lowest,among 26.60%to 39.60%.The Laspeyres price index for emergency drugs had been rising year by year,with the price of drugs in 2018 was 4.8 times higher than 2013.The affordability of urban residents is better than that of rural residents.It is suggested that the government should strengthen the emergency drug reserve system,give full play to the role of primary medical institutions,improve the drug price formation mechanism,and formulate a national list of emergency drug list.
作者
方文箐
谢晓曦
徐行路
戴惠珍
李歆
FANG Wenqing;XIE Xiaoxi;XU Xinglu;DAI Huizhen;LI Xin(School of Health Policy and Management,Nanjing Medical University,Nanjing 211166;School of Pharmacy,Nanjing Medical University,Nanjing 211166;Jiangsu Medicine Information Institute,Nanjing 210029,China)
出处
《南京医科大学学报（社会科学版）》
2020年第6期510-517,共8页
Journal of Nanjing Medical University（Social Sciences）
基金
国家自然科学基金“基于AMS策略导向的医院抗菌药物管理模式构建:综合评价与准实验干预研究”(71673147)
东南大学—南京医科大学合作研究项目“药品知识产权保护对患者福利的影响与药品可及性的改善策略研究”(2018DN0023)。
关键词
应急药品
药品可及性
日均费用
可负担性
供应保障
emergency drug
drug accessibility
average daily expenses
affordability
supply guarantee
