WHO/HAI标准调查法对部分国家与地区基本药物的可获得性研究  

Study on the Availability of Essential Medicines in Some Countries and Regions by WHO/HAI Standard Survey Methodology

作　　者：吴红雁[1] 潘岚岚[1] 陈磊[1] 

机构地区：[1]盐城卫生职业技术学院,江苏盐城224005

出　　处：《中国药房》2015年第9期1153-1156,共4页China Pharmacy

基　　金：江苏省教育厅高校哲学社会科学研究一般项目(No.2014SJB754)

摘　　要：目的：为我国基本药物可获得性评价方法的完善以及实施国家基本药物制度效果评估提供参考。方法：查阅世界卫生组织（WHO）和国际健康行动组织（HAI）公布的药品价格、可获得性、可负担性数据库,根据23个国家和地区提供的调查数据,采用WHO/HAI制定的标准调查法比较公立和私立医疗卫生机构的基本药物可获得性。结果：基本药物的平均可获得率为61.50%,整体高于非基本药物的27.30%;公立医疗卫生机构基本药物可获得率为47.40%,低于私立医疗卫生机构的66.70%;所有地区所有类型基本药物在公立医疗卫生机构的平均可获得率均低于50%,而在私立医疗卫生机构则为68.80%~86.70%;镇痛类基本药物的平均可获得率最高（达到86.70%）,而精神兴奋类基本药物可获得率最低（仅有34.40%）。结论：WHO/HAI标准调查法可应用于我国基本药物的可获得性评价,但具体内容和项目仍有待进一步完善。OBJECTIVE：To provide reference for the improvement of availability of essential drugs evaluation methods and the evaluation on implementation effect of essential drugs regulations. METHODS：According to the data from 23 nations and religions which were obtained from the WHO/Health Action International（HAI）database of medicine prices,including availability,affordability and price components,the availability of essential drugs in public and private health institutions was investigated by WHO/HAI standard survey methodology. RESULTS：The average availability rate of essential drugs was 61.50%,which was higher than non-essential drugs（27.30%）;the availability rate of public health institutions（47.40%）was lower than private health institutions（66.70%）. The median availability of essential medicines（any product type）was lower than 50% across all WHO regions in the public sector except Europe. In the private sector,the median availability of essential medicines（any product type）ranged from 68.80% to 86.70% across all regions. The average availability rate of essential medicines of pain relievers was the highest,reached 86.70%,and psychostimulant was the lowest,only 34.40%.CONCLUSIONS：WHO/HAI standard survey methodology needs further improvement on the application of availability evaluation in China.

关 键 词：基本药物 WHO/HAI标准调查法 可获得性 

分 类 号：R195[医药卫生—卫生统计学]