广州市社区卫生服务机构基本药物可获得性调查

目的:了解城市社区卫生服务机构基本药物的可获得性,为促进基本药物制度的实施提供实证依据和政策建议。方法:选取广州市28个医疗机构进行数据收集,采用国际关于基本药物可获得性的标准方法进行分析和研究。结果:调查的40种药品中,社区卫生服务中心专利品牌药和最低价等效仿制药的可获得性中位数分别是13.16%和42.11%;26个专利药采购价格的中位数是国际参考价格的5.14倍,基本药物的零售价比其采购价高出15%～20%;少数常见病的药品费用超出了大多数人群的经济承受能力。结论:在广州,社区卫生服务中心的基本药物可获得性比较低;药品价格水平高于国际水平;调查涉及的大部分药物可负担性较好。

Availability of essential drugs investigation of Community health services in Guangzhou

Objective: To study the availability of essential medicines in investigation region for promoting the implementation system and to provide a scientific basis through demonstration research.Methods: According to the standard methodology for the investigation of drug prices,a survey on the availability and prices of essential medicines was conducted in 28 hospital in Guangzhou.Results: The median availability of innovative brand-name drugs was 13.16%,the lowest prices generic drugs was 42.11%;The median price...