文章摘要
王 莹,李 远,孙晓娈,李 歆.江苏省基层医疗机构基本药物配备使用状况调查[J].南京医科大学学报(社会科学版),2019,(5):345~350
江苏省基层医疗机构基本药物配备使用状况调查
投稿时间:2018-12-13  
DOI:10.7655/NYDXBSS20190501
中文关键词: 基本药物  基层医疗机构  药物短缺
英文关键词: essential medicines  primary health care institutions  drug shortage
基金项目:江苏省教育厅高校哲学社会科学基金项目“不同所有制下江苏基层医疗机构实施基本药物制度的效果比较评价及政策完善研究”(2017SJB0277)
作者单位
王 莹 南京医科大学医政学院江苏 南京 211166 
李 远 南京医科大学 药学院江苏 南京 211166 
孙晓娈 南京医科大学医政学院江苏 南京 211166 
李 歆 南京医科大学医政学院 药学院江苏 南京 211166 
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中文摘要:
      采用多阶段抽样的方法,对江苏省11家基层医疗机构的485名患者和250名全职医生进行问卷调查,以分析和探讨江苏省基层医疗机构基本药物配备使用状况及基本药物制度实施过程中存在的问题,提出保障药品供应的措施。结果显示,有35.6%的医生认为药品缺货情况增加,苏南和非苏南地区医生感知的药品缺货情况存在差异(P=0.007);有32.4%的医生认同药品价格下降,苏南和非苏南地区医生对药品价格下降的感知情况存在统计学差异(P=0.015);有79.2%的患者认为基层医疗机构提供的药品能满足就医需求,苏南和非苏南地区的患者对就医需求的感知情况存在统计学差异(P<0.01)。Logistic回归分析结果表明,地区和收入是影响患者选择“基层医疗机构是否需要配备更多种类的药物”的因素。为解决药品配备不足的问题,应进一步执行允许基层配备一定比例的基本药物目录外,医保目录内药品的政策,完善基本药物目录,加强对药品招标采购和流通环节的监督,同时加大对非苏南地区的经济和药品供应的扶持。
英文摘要:
      Using the method of multi?stage sampling, a questionnaire survey among 485 patients and 250 full?time doctors from 11 primary health care institutions was conducted in Jiangsu to analyze the current situation of essential drugs provision and use in primary health care institutions and explore problems in the implementation of national essential medicine policy in order to propose measures to safeguard the supply of medicines. The results showed: a total of 35.6% of doctors perceived increasing situation of drug shortage and the perception of doctors comparing south Jiangsu to non?south Jiangsu was different(P=0.007); 32.4% of doctors agreed that drug prices were falling and the perception was different comparing south Jiangsu to non?south Jiangsu(P=0.015); 79.2% of patients considered that the drugs provided by primary care institutions can satisfy medical need and patients comparing south Jiangsu to non?south Jiangsu had different perceptions of medical needs(P<0.01). Logistic regression analysis results showed that, region and income were the factors that influence the patients’ choice for whether primary health institutions need to be equipped with more types of drugs. In order to solve the problems of insufficient drug supply, it is necessary to further implement the policy of allowing the primary care institutions to equip a certain proportion of drugs out of the essential drugs list while in the drug reimbursement list. The government also should improve the list of essential drugs and strengthen supervision over the bidding, procurement and circulation of drugs, and increase financial input and support for supply of medicines in non?south Jiangsu region.
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