全国22个省市76家医疗机构急(抢)救药品短缺情况调查与分析
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摘要
目的:调查研究全国76家医疗机构急(抢)救药品的供应短缺情况,分析短缺原因,提出解决办法和建议。方法:采用调查问卷的方式,对全国22个省自治区直辖市的76家一、二、三级医疗机构的急(抢)救药品短缺情况进行调查,利用Excel2007进行数据统计分析。结果:发放调查问卷76份,回收有效问卷76份,有效回收率100%。59种调研药品中,氯解磷定注射液总体短缺率排名第一(63. 16%),在不同等级医疗机构中也均列首位。当前临床急(抢)救药品短缺主要由临床需求量少、未中标、价格倒挂等因素造成。结论:建议相关管理部门建立合理定价机制,对于临床必需、但用量小、价格低的急(抢)救药品实行政策性保障。
Objective: To investigate the shortage of emergency medicines in emergency department of 76 medical institutions in China,and find out the reasons and the measurements. Methods: The shortage of emergency medicines in 76 class-Ⅰ,class-Ⅱ and class-Ⅲ medical institutions from 22 provinces,autonomous regions and municipalities across the country was investigated by questionnaires,and the data obtained from the survey were collected and analyzed by Excel 2007. Results: Totally 76 questionnaires were sent out,and all of them were recycled with the effective recovery of 100%. Pralidoxime chloride injection ranked the first in 59 investigated medicines with the shortage rate of 63. 16%,which was at the top spot in the list of the different medical institutions as well. The main reasons of drug shortage were as follows: less clinical requirements,lost-bid in centralized bidding and price inversion. Conclusion: It is suggested that the relevant management departments should establish a reasonable pricing mechanism and carry out policy guarantee for the urgent need of emergency medicines with low dosage and low price.
Objective: To investigate the shortage of emergency medicines in emergency department of 76 medical institutions in China,and find out the reasons and the measurements. Methods: The shortage of emergency medicines in 76 class-Ⅰ,class-Ⅱ and class-Ⅲ medical institutions from 22 provinces,autonomous regions and municipalities across the country was investigated by questionnaires,and the data obtained from the survey were collected and analyzed by Excel 2007. Results: Totally 76 questionnaires were sent out,and all of them were recycled with the effective recovery of 100%. Pralidoxime chloride injection ranked the first in 59 investigated medicines with the shortage rate of 63. 16%,which was at the top spot in the list of the different medical institutions as well. The main reasons of drug shortage were as follows: less clinical requirements,lost-bid in centralized bidding and price inversion. Conclusion: It is suggested that the relevant management departments should establish a reasonable pricing mechanism and carry out policy guarantee for the urgent need of emergency medicines with low dosage and low price.
引文
1赵志刚,朱乐婷,王莉文.全国11省市42家医院临床应用药品供应短缺现状调研分析[J].中国医院药学杂志,2008,28(1):65-66
2刘晓慧,彭六保,邓楠,等.湖南省21家三级医院常用药品与急(抢)救药品短缺现象分析[J].中南药学,2015,13(8):880-883
3 国家卫生计生委药政司.中华医学会、中国医师协会关于公布妇儿专科非专利药品、急(抢)救药品直接挂网采购示范药品(化学药品和生物制品部分)遴选原则和示范药品的通告.[EB/OL].(2015-09-16)[2018-02-22] http://www. nhfpc. gov. cn/yaozs/s7652/201509/105a04136fad412e9f57fa8034126bd9. shtml
4 陈慧,刘河,安卓玲,等.全国18个省市63家医疗机构药品短缺的调查分析及应对思考[J].药学服务与研究,2016,16(5):331-334
5马建春,罗震旻,刘振龙,等.全国6个地区医疗机构药品短缺情况调查[J].中国医院药学杂志,2014,34(3):229-232
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7 伍世恒,吴秋云.药品短缺现象频发倒逼医药价格改革[J].中国药业,2016,25(10):1-3
8 吕佳,陈吉生.基于数据库模型的药品短缺原因分析[J].今日药学,2013,23(12):843-847+851
9 陈吉生,罗震旻,刘振龙,等.短缺基本药物现状及保障措施研究[J].中国执业药师,2013,10(Z1):43-47
10 刘琳,杨悦.药品限价背景下药品短缺问题及其对策[J].求医问药(下半月),2013,11(3):45
11 杨悦,黄果,初智铭,等.美国处理药品短缺问题的经验及其对我国的启示[J].中国药房,2008,19(28):2173-2176
12 王晓易.救命药鱼精蛋白为何短缺[N].西安晚报,2016-05-12(9)
13 国家卫生计生委药政司.关于硫酸鱼精蛋白注射液供应短缺的有关情况[EB/OL].(2016-05-10)[2018-02-14]http://www. nhfpc. gov. cn/yaozs/s7653/201605/e5056c55f3214d4dae66f7bc14df8db1. shtml
14 胡银环.对完善我国药品供应体系的思考[J].中国卫生事业管理,2004,1:60-62
2刘晓慧,彭六保,邓楠,等.湖南省21家三级医院常用药品与急(抢)救药品短缺现象分析[J].中南药学,2015,13(8):880-883
3 国家卫生计生委药政司.中华医学会、中国医师协会关于公布妇儿专科非专利药品、急(抢)救药品直接挂网采购示范药品(化学药品和生物制品部分)遴选原则和示范药品的通告.[EB/OL].(2015-09-16)[2018-02-22] http://www. nhfpc. gov. cn/yaozs/s7652/201509/105a04136fad412e9f57fa8034126bd9. shtml
4 陈慧,刘河,安卓玲,等.全国18个省市63家医疗机构药品短缺的调查分析及应对思考[J].药学服务与研究,2016,16(5):331-334
5马建春,罗震旻,刘振龙,等.全国6个地区医疗机构药品短缺情况调查[J].中国医院药学杂志,2014,34(3):229-232
6 玄烨,张建华.我国廉价药短缺现状分析及对策[J].现代医院,2017,17(7):940-943
7 伍世恒,吴秋云.药品短缺现象频发倒逼医药价格改革[J].中国药业,2016,25(10):1-3
8 吕佳,陈吉生.基于数据库模型的药品短缺原因分析[J].今日药学,2013,23(12):843-847+851
9 陈吉生,罗震旻,刘振龙,等.短缺基本药物现状及保障措施研究[J].中国执业药师,2013,10(Z1):43-47
10 刘琳,杨悦.药品限价背景下药品短缺问题及其对策[J].求医问药(下半月),2013,11(3):45
11 杨悦,黄果,初智铭,等.美国处理药品短缺问题的经验及其对我国的启示[J].中国药房,2008,19(28):2173-2176
12 王晓易.救命药鱼精蛋白为何短缺[N].西安晚报,2016-05-12(9)
13 国家卫生计生委药政司.关于硫酸鱼精蛋白注射液供应短缺的有关情况[EB/OL].(2016-05-10)[2018-02-14]http://www. nhfpc. gov. cn/yaozs/s7653/201605/e5056c55f3214d4dae66f7bc14df8db1. shtml
14 胡银环.对完善我国药品供应体系的思考[J].中国卫生事业管理,2004,1:60-62