社区卫生服务机构基本药物可获得性研究  

The study on availability of essential medicines in community health service institutions

作　　者：张新平[1] 郑双江[1] 田昕[1] 

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,湖北武汉430030

出　　处：《中国卫生政策研究》2010年第6期14-17,共4页Chinese Journal of Health Policy

基　　金：中国药学会资助课题

摘　　要：应用基本药物使用率、基本药物处方率、单张处方基本药物平均个数和全是基本药物的处方率4个指标,从处方角度对我国社区卫生服务机构基本药物可获得性现状进行评估,结果发现四个指标值分别为27.97%、43.67%、0.59个和9.11%,社区卫生服务机构基本药物可获得性很低。对TOPSIS得出的最优机构进行案例分析发现,科学的药品遴选、基本药物费用合理分担、加大政府投入、有效的监督与评估和基本药物集中招标采购、统一配送、零差率销售为促进社区基本药物可获得性的良好做法。建议进一步落实基本药物制度、建立合理的补偿机制。In this study,the rate of essential medicines used,essential medicines prescribed rate,essential medicines in a single prescription and the average number of prescription medicines are the four indicators used to measure availability of essential medicines from perspective of community health service institutions. It was found that the values of the four indicators were 27.97%,43.67%,0.59 unit and 9.11% respectively. The availability of essential medicines in community health service institutions is very low. By using TOPSIS method the optimal institution case is found. Selection of essential medicines,cost-sharing,increasing government investment,effective monitoring and evaluation and centralized bidding and procurement system of essential medicines,uniformed distribution,zero mark-up rate sales are of good practices. It is recommended that the implementation of essential medicines and the establishment of a reasonable compensation mechanism are needed to be found.

关 键 词：社区卫生服务机构 基本药物 可获得性 

分 类 号：R951[医药卫生—药学]