云南省61家医疗机构药品短缺情况调查分析
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篇名: 云南省61家医疗机构药品短缺情况调查分析
TITLE:
摘要: 目的:了解云南省医疗机构药品短缺现状及短缺原因,为解决药品短缺问题提供参考。方法:采用问卷调查方法,对云南省61家医疗机构(三级医院19家、二级医院26家、一级医院16家)的药品短缺情况进行调查,运用SPSS 19.0软件,以描述统计方法对不同级别医院的数据进行分层汇总分析。结果:共发放61份问卷,回收57份有效问卷,有效回收率为93.44%。从药品短缺情况来看,急救药品短缺品规整体构成比在三级医院为22.73%,高于二级医院和一级医院;《国家基本药物目录》、云南省医保药品目录药品短缺品规整体构成比在一级医院均为97.58%,高于三级医院和二级医院;短缺药品类别方面,抗感染药物短缺构成比在各级医院都排在了前2位,中成药制剂短缺构成比在二级医院和一级医院均排第1位。发生药品短缺的原因与药品生产企业、流通企业和医疗机构均有关系,在三级医院与二级医院主要表现为配送公司缺货,在一级医院主要表现为招标平台无药供应与价格倒挂。结论:云南省药品短缺形势依然严峻,造成药品短缺的原因与药品生产、流通、使用环节都有关联。我国当前亟需建立一种药品短缺预防及处理的长效机制,有效预防和解决药品短缺问题,确保患者能够持续获得安全和有效的药品。
ABSTRACT: OBJECTIVE: To investigate the current situation and reasons of drug shortage in medical institutions of Yunnan province, and to provide reference for solving the drug shortage. METHODS: A questionnaire survey was conducted to investigate and analyze the situation of drug shortage in 61 medical institutions from Yunnan province (19 third-level hospitals, 26 second-level hospitals, 16 first-level hospitals). By SPSS 19.0 software, descriptive statistics was used to stratify, summarize and analyze the data of different levels of hospitals. RESULTS: A total of 61 questionnaires were sent out, and 57 effective ones were collected with effective recovery of 93.44%. From the distribution of drug shortage, the overall proportion of first-aid drug in third-level hospitals was 22.73%, which was higher than those of second-level and first-level hospitals; among all types of National Essential Medicine List and Yunnan Province Medical Insurance Medicine List, the overall proportions of shortage drugs in first-level hospitals both were 97.58%, higher than third-level and second-level hospitals. From the types of shortage drug, the proportion of anti-infective drug shortage ranked the top two places in different levels of hospitals, and those of Chinese patent medicine preparation shortage ranked the first place in second-level and first-level hospitals. The reasons of drug shortage were all related to pharmaceutical production enterprises, distribution enterprises and medical institutions. Drug shortage of third-level and second-level hospitals mainly manifested as out of stock in distribution enterprises. Drug shortage of first-level hospitals mainly manifested as no drug supply and price inversion in bidding platform. CONCLUSIONS: The situation of drug shortage is still grim in Yunnan province. The reasons for drug shortage are correlated with drug production, distribution and application. It is urgent for us to establish a long-term mechanism for drug shortage prevention and disposal in order to prevent drug shortage effectively and to ensure that patients can continue to obtain safe and effective drugs.
期刊: 2018年第29卷第14期
作者: 何瑾,李晓甦,柳汝明,王茜,卢珊珊,王露婕,张峻
AUTHORS: HE Jin,LI Xiaosu,LIU Ruming,WANG Xi,LU Shanshan,WANG Lujie,ZHANG Jun
关键字: 云南省;医疗机构;短缺药品;短缺原因
KEYWORDS: Yunnan province; Medical institution; Drug shortage; Reasons for drug shortage
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