“两票制”背景下不同配送模式医院药品供应情况的实证研究  

An empirical study on hospital drug supply with different distribution models under “two-invoice system”

作　　者：黄润青 石秀园 陈云娥 李璠 HUANG Run-qing;SHI Xiu-yuan;CHEN Yun-e;LI Fan(School of Pharmaceutical Sciences & Yunnan KeyLaboratoty of Pharmacology for Natural Products,Kunming Medical University,Kunming 650500)

机构地区：[1]昆明医科大学药学院暨云南省天然药物药理重点实验室,昆明650500

出　　处：《中南药学》2019年第3期458-461,共4页Central South Pharmacy

基　　金：国家社会科学基金项目(No.14BGL144)

摘　　要：目的对比分析"两票制"背景下药品集中配送和分散配送两种类型医院的药品供应情况。方法以云南省为例,收集医院无法执行"两票制"的药品清单并进行药品配送信息调查。结果集中配送组无法执行"两票制"的药品平均数为33种,分散配送组为17种。集中配送组无法执行"两票制"的药品29.6%是由于配送企业"两票制"货源未到位,分散配送组62.8%是由于生产企业不执行"两票制",两组间差异有统计学意义(P <0.001)。集中配送组和分散配送组无法执行"两票制"的药品大多为"临床必须、不可或缺、无法替代",占比分别为48.1%及63.6%,分散配送组大于集中配送组,两组间差异有统计学意义(P=0.005)。结论 "两票制"政策下,药品集中配送或分散配送模式各有利弊,从无法执行"两票制"的药品平均数量上来说,分散配送组的药品供应情况优于集中配送组。Objective To compare and analyze the drug supply models under the "two-invoice system" in hospitals with or without centralized distribution. Methods Yunnan province was used as an example, list of drugs that could not implement the "two-invoice system" was collected and drug distribution information was investigated. Results The average number of drugs failing to implement the "two-invoice system" was 33 in the centralized distribution group, and 17 in the non-decentralized distribution group. In centralized distribution group, 29.6% of the drugs failing to implement the "two-invoice system" was due to the delivery company’s resource supply problem, while 62.8% was the production companies refused to practice the "two-invoice system" in the non-centralized distribution group, and the difference between the two groups was significant(P<0.001). Most drugs failing to implement the "two-invoice system" in both groups were "clinically needed,indispensable, and irreplaceable", accounting for 48.1% and 63.6% respectively with significant difference(P= 0.005). Conclusion Both centralized or non-centralized distribution models have their own advantages and disadvantages under the "two-invoice system" policy. Drug supply in the non-centralized distribution group is better than that in the centralized group.

关 键 词：两票制 药品配送 药品流通 集中配送 分散配送 

分 类 号：R95[医药卫生—药学]