江苏省三级医院儿童药品短缺现状调查及建议
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篇名: 江苏省三级医院儿童药品短缺现状调查及建议
TITLE:
摘要: 目的:为提高儿童药品的供应保障水平提供参考。方法:对江苏省内13家三级医院的儿童药品短缺情况及原因等进行问卷调查[主要面向各受访医院的药学部主任(或药品采购人员)和临床药师],并就调查数据进行统计和分析,进而提出建议。结果:共发放问卷26份,回收有效问卷26份,有效回收率为100%。13家受访医院儿童专用药品在各自医院药品目录中的占比多数<5%;共有82个儿童专用药品品种(含医院制剂),主要的3类为中成药(35.37%)、呼吸系统用药(12.20%),以及维生素、矿物质和肠内肠外营养药(10.98%)。在126种短缺儿童药品中,抗感染药物、抗肿瘤药物、神经系统用药和精神药物、消化系统用药短缺品种最多(均占8.73%)。在儿童药品的短缺原因方面,价格因素(38.10%)、厂家停产(32.54%)及未中标或无供应(13.49%)等为主要原因;价格在0.01~10.00元的低价药品短缺情况最为严重,占全部短缺品种的57.94%。受访者认为专科用药短缺对临床治疗的影响最大(38.46%),其次为解毒药(30.77%)和罕见病治疗药(15.38%)。结论:儿童专用药品在医院药品目录中占比很小,儿童药品短缺受到多种因素影响,且低价药品短缺情况尤其严重,儿童专科用药和解毒药的短缺被认为对临床治疗的影响较大。建议通过制定儿童专用药品保护性政策,改进药品流通环节,促进儿童药物临床试验开展及加强儿童专用药品研发等措施保障儿童药品的供应。    
ABSTRACT: OBJECTIVE: To provide reference for improving the level of pediatric drug supply and guarantee. METHODS: Questionnaire survey about the situation and causes of pediatric drug shortage was conducted in 13 third-level hospitals of Jiangsu province [directors of pharmacy department (or drug purchasers) and clinical pharmacists of each surveyed hospital]. The survey data were analyzed statistically so as to provide suggestions. RESULTS: A total of 26 questionnaires were distributed, and 26 effective questionnaires were collected with effective recovery rate of 100%. In 13 hospitals, special drugs for children were mostly less than 5% of hospital drug list. There were 82 kinds of special drugs for children (containing hospital preparation), mainly including Chinese patent medicine (35.37%), drugs for respiratory system (12.20%), vitamin,mineral substance and enteral and parenteral nutrient solution (10.98%). The most types of anti-infective drugs, antineoplastics, nervous system drugs and psychotropic drugs, digestive system drugs were in shortage among 126 pediatric drugs in shortage(8.73%). The reasons for pediatric drug shortage mainly included price (38.10%), production break (32.54%), failure to bid or no supply (13.49%). The shortage of cheap drugs with price of 0.01-10.00 was the most serious, accounting for 57.94% of the varieties in shortage supply. Respondents thought that special drug shortage most affected clinical treatment (38.46%), followed by poisoning rescue drugs (30.77%) and orphan drugs (15.38%). CONCLUSIONS: Special drugs for children account for a very small proportion in the hospital drugs list. Pediatric drug shortage is affected by many factors. Cheap drug shortage is the most serious. The shortage of special drugs for children and poisoning rescue drugs is considered to have a great impact on clinical treatment. It is suggested to establish special drugs for children protective policy, improve drug circulation, promote pediatric drug clinical trial and intensify the research and development of special drugs for children so as to guarantee pediatric drug supply.
期刊: 2017年第28卷第33期
作者: 季兴,王倩,许静,丁利,曾缘缘,李曼
AUTHORS: JI Xing,WANG Qian,XU Jing,DING Li,ZENG Yuanyuan,LI Man
关键字: 儿童药品;短缺;调查;原因
KEYWORDS: Pediatric drug; Shortage; Survey; Cause
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