基于WHO/HAI标准调查法的南京市医疗机构应急药品可及性调查与分析
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1.南京医科大学医政学院 江苏南京;2.南京医科大学药学院 江苏南京;3.药学院 江苏南京;4.江苏省医药情报研究所 江苏南京

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东南大学-南京医科大学合作研究项目— “药品知识产权保护对患者福利的影响与药品可及性的改善策略研究”(2018DN0023)


Investigation and Analysis of Access to Emergency Drugs in Nanjing Medical Institutions Based on WHO/HAI Standard Survey Method
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1.School of Pharmacy, Nanjing Medical University;2.Jiangsu Medicine Information institue

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    摘要:

    目的:通过调查应急药品可及性状况,为完善应对突发公共卫生事件的应急药品保障政策提供依据。方法与结果:基于WHO/HAI标准调查法,评价52种应急药品2013-2018年间在南京市不同等级医疗机构的可及性。应急药品总体可获得性高于50%,呈上升趋势;不同等级医疗机构的可获得性存在统计学差异(P<0.001),基层医疗机构应急药品可获得性最低,在25%-40%之间;Laspeyres价格指数逐年上升,2018年药品价格是2013年的4.8倍;可负担性总体良好,城镇居民可负担性优于农村居民。结论:建议有关政府部门应加强应急药品储备机制,充分发挥基层医疗机构的作用,完善药品价格形成机制,制定国家应急药品目录。

    Abstract:

    Abstract: Objective: By investigating the availability of emergency drugs in medical institutions, it provides a basis for improving the policy of emergency drug supply guarantee in response to public health emergencies. Methods and results: based on the World Health Organization (WHO) and the International Health Initiative (HAI) standard investigation methodology, evaluating the accessibility from 2013 to 2018 of 52 emergency drugs in different medical institutions in Nanjing city. The overall availability of emergency drugs was more than 50%, and the overall trend was on the rise, there were statistical differences in the availability of different level medical institutions (P<0.001), and the availability in primary medical institutions was the lowest, among 25% to 40%. The Laspeyres price index for emergency drugs had been rising year by year, with the price of drugs in 2018 was 4.8 times than 2013. The affordability of emergency drugs was good, and that of urban residents was better than of rural residents. Conclusion: It is suggested that we should strengthen the emergency drug reserve system and giving full play to the role of primary medical institutions, improving the drug pricing mechanism, and formulate a national list of emergency drugs.

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  • 收稿日期:2020-03-06
  • 最后修改日期:2020-06-22
  • 录用日期:2020-12-14
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