某三级甲等公立医院短缺药品因素分析以及应对策略探究  

Analysis on the Factors of Drug Shortage in a Third-Class and First-Class Public Hospital and Research on the Countermeasures

作　　者：钟健敏 杨莹 蔡嘉利 肖诚胤 薛标强 Zhong Jianmin(Qingyuan People’s Hospital,Procurement Supply Center,Qingyuan Guangdong 511500)

机构地区：[1]清远市人民医院采购供应中心,广东清远511500

出　　处：《黑龙江医药》2023年第3期520-524,共5页Heilongjiang Medicine journal

基　　金：清远市科技计划项目(编号:190912144569221),课题名称:广东省第三方药品电子交易平台采购模式下清远市药品短缺原因及对策探究。

摘　　要：目的:分析我市某三级甲等公立医院短缺药品的因素,并提出针对性的应对策略。方法:回顾性分析我市某三级甲等医院在2017年至2022年期间短缺药品情况,包括药理分类、药品名称、剂型、规格、生产厂家、批准文号、购入价格、采购方式、短缺时间、短缺的原因。分析并总结该院短缺药品的组成、价格以及短缺的原因,从而提出针对性的、科学的、合理的应对策略。结果:2017年至2022年期间,该院共计有74个短缺药品,药理分类结果显示,短缺品种数量排名前三的分别为神经系统药物、抗肿瘤和免疫调节剂、中成药。其中包括35个固体口服制剂,1个液体口服制剂、26个注射剂,6个固体外用制剂,6个液体外用制剂。5元以下的药品最易短缺,占比为64.86%。厂家停产造成的药品短缺最多,占比为48.65%。药品短缺的原因可能出现在各个环节,如:药品生产、药品流通、药品的使用等。结论:针对该三级甲等医院短缺药品的情况,需要制定针对性的预警机制,监控好药品价格,完善医疗机构信息化管理,及时上报短缺药品的情况。Objective:To analyze the factors causing the shortage of drugs in a ClassⅢand Class A public hospital in our city,and propose targeted countermeasures.Methods:A retrospective analysis was made on the shortage of drugs in a Class III A hospital in our city from 2017 to 2022,including pharmacological classification,drug name,dosage form,specification,manufacturer,approval number,purchase price,purchase method,shortage time,and reasons for the shortage.Analyze and summarize the composition,price and reasons of the shortage of drugs in the hospital,and propose targeted,scientific and reasonable countermeasures.Results:From 2017 to 2022,there were 74 drugs in short supply in the hospital.The pharmacological classification results showed that the top three drugs in short supply were nervous system drugs,anti-tumor and immunomodulators,and traditional Chinese patent medicines and simple preparations.It includes 35 solid oral preparations,1 liquid oral preparation,26 injections,6 solid external preparations and 6 liquid external preparations.Drugs less than 5 yuan are the most vulnerable to shortage,accounting for 64.86%.The shortage of drugs caused by the shutdown of manufacturers is the largest,accounting for 48.65%.The reasons for drug shortage may occur in various links,such as drug production,drug circulation,drug use,etc.Conclusion:In view of the shortage of drugs in the ClassⅢand Class A hospitals,it is necessary to develop a targeted early warning mechanism,monitor drug prices,improve the information management of medical institutions,and report the shortage of drugs in time.

关 键 词：短缺药品 短缺因素分析 应对策略 

分 类 号：R954[医药卫生—药学]