摘要
目的:分析我国城市医疗集团药品供应保障体系的建设现状、存在问题及其原因,并提出对策建议。方法:采用目标对应法确定监测指标,比较东中西部不同区域药品供应保障体系建设差异,并结合实地调研提出建议。采用SPSS26.0软件进行统计分析。结果:我国在药品供应保障机制建设方面,用药目录衔接是最优的指标,为30.12%;在用药结构方面,城市医疗集团内医院国家组织药品集中采购中标药品使用比例和住院患者基本药物使用率分别为85.16%和88.73%;在合理用药方面,城市医疗集团内医院点评处方占处方总数比例和抗菌药物使用强度分别为28.45%和25.45 DDDs。西部地区在国家组织药品集中采购中标药品使用比例及合理用药方面相对较好。结论:城市医疗集团内药品采购和供应保障机制统一存在困难,但牵头医院对成员单位的用药结构优化及合理用药帮扶有所体现,且不同区域存在发展不平衡的特点。为进一步健全药品供应保障体系,必须要加快统一药品供应保障机制,并以药学服务同质化为导向,充分发挥牵头医院对成员单位的用药结构规范及合理用药帮扶作用。
Objective:It analyzes the construction status quo,existing problems and reasons of the drug supply guarantee system of urban medical groups in China,and puts forward countermeasures and suggestions.Methods:Target matching method was used to determine the monitoring indicators,compare the differences of drug supply security system construction in different regions of east,middle and west China,and put forward suggestions combined with field investigation.SPSS 26.0 was used for statistical analysis.Results:A total of 332 urban medical groups were included in the analysis.In terms of drug supply guarantee mechanism construction,drug list linkage was the best index,accounting for 30.12%.In terms of drug use structure,the proportion of bid-winning drugs and the utilization rate of inpatients’essential drugs were 85.16%and 88.73%%,respectively.In terms of rational drug use,the proportion of hospital review prescriptions in total prescriptions and the use intensity of antibiotics in urban medical groups were 28.45%and 25.45 DDDS,respectively.The western region is relatively good in the proportion of bid-winning drugs and rational drug use.Conclusions:It is difficult to unify the drug purchase and supply guarantee mechanism in urban medical groups,but the lead hospital has shown some aspects in optimizing the drug use structure of member units and helping rational drug use,and the development is unbalanced in different regions.To further improve the drug supply guarantee system,it is needed to first accelerate the unification of the drug supply guarantee mechanism,and take the homogenization of pharmaceutical care as the guidance,and give full play to the role of the lead hospital in the drug use structure specification and rational drug use assistance for member units.
作者
何成雪
赵锐
施俊伟
李璠
He Chengxue;Zhao Rui;Shi Junwei;Li Fan(Key Laboratory of Natural Medicine Pharmacology,School of Pharmacy and Yunnan Province,Kunming Medical University,Kunming,650500,China;Yunnan Drug Policy Research Center,Kunming,650500,China;不详)
出处
《中国卫生经济》
北大核心
2023年第11期57-60,共4页
Chinese Health Economics
基金
国家卫生健康委员会医政医管局项目。
关键词
城市医疗集团
药品供应保障体系
药学服务同质化
urban medical group
drug supply guarantee system
homogenization of pharmaceutical care
