云南省61家医疗机构药品短缺情况调查分析  

Survey and Analysis of Drug Shortage in 61 Medical Institutions from Yunnan Province

作　　者：何瑾[1] 李晓甦[1] 柳汝明[1] 王茜[1] 卢珊珊[1] 王露婕 张峻[1] HE Jin;LI Xiaosu;LIU Ruming;WANG Xi;LU Shanshan;WANG Lujie;ZHANG Jun(Dept.of Clinical Pharmacy,the First Affiliated Hospital of Kunming Medical University,Kunming 650032,China)

机构地区：[1]昆明医科大学第一附属医院临床药学科,昆明650032

出　　处：《中国药房》2018年第14期1882-1885,共4页China Pharmacy

基　　金：国家卫生计生委药政司委托研究课题(No.药政[2016]36号);云南省高层次卫生计生技术人才培养专项经费资助项目(No.云卫科教发[2016]12号-L-201614)

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。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 patie

关 键 词：云南省 医疗机构 短缺药品 短缺原因 

分 类 号：R954[医药卫生—药学]