抗结核药品供应管理现状调查  

Supply Management Survey of Anti-TB Drugs

作　　者：马艳[1] 黄国芳[2] 李亮[1] 杜建[1] 万利亚 周林[4] 王倪 成诗明 

机构地区：[1]北京市结核病胸部肿瘤研究所中心办公室,101149 [2]北京胸科医院胸外科 [3]中国防痨协会 [4]中国疾病预防控制中心结核病预防控制中心

出　　处：《结核病与胸部肿瘤》2014年第1期32-36,共5页Tuberculosis and Thoracic Tumor

基　　金：中国全球基金结核病项目实施性研究（12-001）

摘　　要：目的分析抗结核药品库存、缺货及过期破损等情况，了解抗结核药品供应管理现状。方法采用现况调查的方法，根据我国各地区免费抗结核药品的不同采购供应模式，选择河南省、重庆市、湖北省、吉林省、上海市及浙江省等6个省（直辖市）[包含6个省（直辖市）下属的4个地市及10个区（县）的20家结核病防治机构作为现场调查地区]，对全国和6个省（直辖市）2007年1。12月的季度末4种免费抗结核药品（HRZE、HRE、HR板式组合药和链霉素）库存情况，季度末药品缺货比率；以及20家结防机构的4种免费抗结核药品（HRZE、HRE、HR板式组合药和链霉素）库存率、药品过期破损率、账物相符率进行统计分析。结果全国免费抗结核药品季度末库存量平均可使用时间2．7～5．8个月，平均缺货比率12．9％～15．8％；6个省（直辖市）平均可使用时间1.4～18．1个月。20家调查机构的4种免费抗结核药品库存率为33．3％～100．0％，平均缺货比率1．0％～20．5％；7家机构存在药品过期破损，过期破损率为0．1％～2．4％l5家调查机构存在账物不符，账物相符率为50．0％～66．7％。结论应加强对药品供应管理的监控和评价，为完善我国抗结核药品的供应管理体系提供科学的依据。Objective To analyze the anti-TB drug stock and expiration damage situation in order to understand the anti-TB drug supply management status. Methods Six provinces （include 4 cities and 10 counties, 20 TB dispensaries as study sites in all） were selected according to different anti-TB drugs procurement and supply models to investigate drug inventory and out of stock status. The inventory, breakage and out of stock rate and consistency with account book was analyzed. Results Nationally, the average usage time of free anti-TB drug was 2.7 to 5.8 months at quarter-end with the average out of stock rate between 12.9% and 15.8%. The average usage time in these 6 provinces was 1.4 to 18.1 months.The inventory rate of 4 kinds of free drug in 20 investigated institutions was 33.3% to 100.0%, the average out of stock rate between 1.0% and 20.5%; 7 institutions existed the phenomenon of drugs expired or damaged with expired and breakage rate of 0.1% to 2.4%; 5 institutions existed discrepancies between actual drug and account book, the consistency rate was 50.0% to 66.7%. Conclusion We should strengthen the monitoring and evaluation of drug supply management, provide scientific evidence to improve the anti-TB drugs supply and management system.

关 键 词：抗结核药 药剂学管理 

分 类 号：R978.1[医药卫生—药品]