Whether medicine supply is really meeting primary health care needs:a mixed-methods study in Shandong Province,China  

作　　者：Zhixin Fan Tiantian Gao Qiang Sun Zaheer‑Ud‑Din Babar 

机构地区：[1]Centre for Health Management and Policy Research,School of Public Health,Cheeloo College of Medicine,Shandong University,Jinan 250012,Shandong,China [2]NHC Key Lab of Health Economics and Policy Research(Shandong University),Jinan 250012,Shandong,China [3]Shandong Provincial Hospital affiliated to Shandong First Medical University,Jingwu Road,Jinan 250021,Shandong,China [4]Centre for Pharmaceutical Policy and Practice Research Department of Pharmacy,University of Huddersfield,Queensgate,Huddersfield HD13DH,UK

出　　处：《Global Health Research and Policy》2024年第1期262-273,共12页全球健康研究与政策(英文)

基　　金：National Key Research and Development Program of China(NO.2020YFC2006505).

摘　　要：Background With the aging population,the increasing prevalence of chronic non-communicable diseases,and the diversified needs for primary health care(PHC)medicines,it is necessary to rethink the functional role of the supply of PHC medicines.This study aims to evaluate the supply of PHC medicines and the status of meeting PHC medicine needs.Methods The mixed-methods study was conducted to evaluate the supply of PHC medicines in Shandong Province.In the quantitative study,survey questionnaires were distributed to county hospitals,township hospitals,and patients,and a prescription review was performed in township hospitals.In the qualitative study,semi-structured interviews were conducted with the pharmacy managers,physicians,and patients in county hospitals,township hospitals,and village clinics.A senior pharmacist from a tertiary hospital who has rich experience on the indications for medi-cine use,accompanied us on a visit to inspect the PHC pharmacies to survey medicine equipment with a professional perspective.Results Quantitative analysis revealed that 211 county hospitals and 1,581 township hospitals participated in the survey,revealing the median annual frequency of medicine shortages of 5.0 times for county hospitals and 2.0 times for township hospitals.Of the 6,323 patient medication surveys,after excluding 152 patients not involved in medication use,945(15.3%)indicated medicine shortages,with half of these attributable to institutions lacking required medicines(52.8%).On average,the prescription qualified rate of 37 township hospitals was 72.2%.Four final themes emerged during the qualitative data analysis:(1)Supply of PHC medicines;(2)Solutions to the shortage of off-list medicines;(3)Appropriateness of PHC medicines list;(4)Pharmacist workforce development and pharmacy services.Conclusions The discrepancy between patients’need for PHC medicine and present medicine supply is notewor-thy.It is suggested that governments should optimize the existing lists to adequately meet patient medicine needs and pr

关 键 词：Medicine supply Medicine need Medicine shortage Mixed-methods study China 

分 类 号：R73[医药卫生—肿瘤]