我国基本药物制度政策效果评价——基于山东、湖北、四川三省的监测数据  

Effect evaluation of national essential medicine system in China:Based on survey data from Shandong,Hubei and Sichuan

作　　者：王洪涛[1] 唐玉清[1] 刘云云[1] 杨廉平[1] 张新平[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》2012年第4期30-34,共5页Chinese Journal of Health Policy

基　　金：卫生部药政司课题"初步建立国家基本药物制度(2009-2011年)回顾性研究"

摘　　要：目的:从政策目标层面评价我国基本药物制度的实施效果。方法:文献法与问卷调查法相结合,内容包括基层医疗卫生机构的药品费用、合理用药情况及基本药物质量等。结果:2011年1—9月次均门诊药品费用和次均住院药品费用较2010年同期分别下降25.93%和25.22%,基本药物价格显著下降,基本药物可及性得到保障与提高;注射剂使用率、抗生素使用率、抗生素联用率、激素使用率及单张处方金额均有所降低,合理用药水平提高;通过基本药物电子码监管与国家药监局飞行检查两大途径,基本药物质量得到保障。结论:我国基本药物制度政策实施效果显著,但仍存在一些问题,需从药物目录调整、合理用药培训、药物质量监管、长效补偿机制以及药品采购机制等方面进行完善。Objective：To evaluate the implementation effect of national essential medicine system（NEMS） from the aspect of the policy objectives.Methods：The methods of literature review and questionnaire survey were used to collect information,including medical expense,rational use of medicines and drug quality.Results：The average medical expense per outpatient and per inpatient increased 25.93% and 25.22%,respectively in 2011,compared with 2010,essential medicines prices dropped significantly;the utilization rate of injection,antibiotics,hormone and average cost per prescription reduced;drug quality improved through means of electronic drug code regulation and flight check of State Food and Drug Administration,the quality of essential medicines.Conclusion：The outcome of China＇s basic drug system policy implementation are obviously positive,but there are still some problems.There are needs to perfect the NEMS from the aspect of adjusting the essential medicines list,strengthening rational medicines using training and drug quality supervision,establishing long-term financial compensation mechanisms and drug procurement mechanism.

关 键 词：基本药物制度 效果评价 可及性 合理用药 药品质量 

分 类 号：R951[医药卫生—药学]