湖北省52家哨点医院药品短缺情况的调查分析  

Statistical and Analysis of Drug Shortage in 52 Sentinel Hospitals in Hubei Province

作　　者：马利云 赵瑛 李森 黄璞[1] Ma Liyun;Zhao Ying;Li Sen;Huang Pu(Department of Pharmacy,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院药剂科,武汉430022

出　　处：《中国药师》2020年第5期926-930,共5页China Pharmacist

基　　金：中国药学会科技开发中心项目(编号:YZS2018-DQYJ-11)。

摘　　要：目的:了解2018年上半年湖北省部分医疗机构药品短缺情况,为减少药品短缺的政策制定提供数据支持。方法:收集湖北省52家医疗机构2018年1~6月短缺药品上报信息,分别统计短缺药品的类别、批准文号、剂型、给药途径、价格分布、在销企业数、短缺类型、采购方式、短缺时间、短缺原因及短缺后有无替代等信息,并进行描述性分析。结果:湖北省52家哨点医院2018年1~6月药品短缺情况严峻,短缺药品品种高达640种,短缺的主要类别有消化系统及代谢药物、神经系统药物、全身用抗感染药物、心血管系统药物等;化学药品短缺占比高达94.0%;溶液剂和注射剂、片剂、散剂为短缺药品的主要剂型;价格(按标准化包装单位计)在50元以下的药品上报频次占比最高(73.6%);断货为主要短缺类型,上报频次占比78.7%;招标采购为短缺药品的主要采购方式;药品短缺时间跨度较长(1~53个月),短缺原因错综复杂,主要有原料短缺或垄断、交易价格低、临床用量小等。结论:为减少药品短缺现象的发生,医院、企业、政府应协力合作,从药品生产、运输、管理等各个环节制定措施,以保障公众用药的可及性。Objective:To understand the drug shortages in some hospitals in Hubei province from January to June 2018,and provide data support for policy development to reduce drug shortages.Methods:The information on the drug shortage of 52 medical institutions in Hubei province from January to June 2018 was firstly collected.And then the information,including the drug shortage classification,approval numbers,dosage forms,administration routes,price distribution,the number of companies on sale,types of shortage,purchase modes,shortage time,reasons for shortage and the replacement information after shortage,was statistically analyzed and performed by a descriptive analysis.Results:The situation of drug shortages in 52 sentinel hospitals in Hubei province from January to June 2018 was severe.There were 640 varities of drugs in shortage,and the main categories of shortage were digestive and metabolic drugs,nervous system drugs,systemic anti-infection drugs,cardiovascular system drugs and so on.The proportion of chemical drugs was up to 94.0%.The primary dosage forms in shortage were solutions,injections,tablets and powders.The drugs with price(according to the standardized packaging units)below 50 yuan were reported at the highest proportion(73.6%).The main type of shortage was out of stock(78.7%)and the primary purchase mode of shortage drugs was bidding.Additionally,the shortage time span was long,from 1 month to 53 months.And the reasons for shortage were complicated,mainly due to the shortage or monopoly of the raw medicines,low transaction prices,and small clinical use,etc.Conclusion:In order to reduce the drug shortage and ensure the drug accessibility by the public,hospitals,enterprises and governments should cooperate to make policies and measures covering the production,transportation and management of drugs.

关 键 词：药品短缺 短缺药品类别 价格分布 短缺时间 

分 类 号：R952[医药卫生—药学]