基于监测网络的东莞市医疗机构急(抢)救药品供应保障体系构建与实践

目的：制定全市急（抢）救药品供应保障体系，探讨其对全市医疗机构急（抢）救药品缺乏以及费用的影响。方法：在全市16家各级不同医疗机构建立急（抢）救药品监测网络，通过制定急（抢）救药品储备目录、采购与调用管理规定、费用结算管理规定，以及建立常备化的储备点等多项措施构建供应保障体系。分别选取2017年1月至6月和2018年1月至6月全市医疗机构急（抢）救药品保障供应情况为对照组和试验组。观察保障体系实施前后，全市各级医疗机构急（抢）救药品缺乏的品种数、报损的品种数和费用以及采购费用。结果：实施该保障体系后，与对照组相比，试验组急（抢）救药品缺乏的品种数显著下降（P < 0.05），而报损品种数、报损费用和采购费用也均显著下降（P < 0.05）。结论：急（抢）救药品供应保障体系，可有效改善医疗机构急（抢）救药品缺乏的状况，降低了报损费用和采购费用，具有进一步推广应用的价值。

Establishment and Practice of Supply and Security System for Emergency Medicine Based on Monitoring Network in Medical Institutions in Dongguan

Objective: To establish supply and security system of emergency medicine and to discuss its impact on the shortage and cost of emergency medicine of the medical institutions in the whole city. Methods: The emergency medicine monitoring network was set up in 16 different medical institutions at all levels in the city. The supply and security system was established by setting up the inventory of emergency medicine, the management regulations of purchasing and transfer, the cost settlement, and establishment of standing reserve points. The supply and security situation of emergency medicine in medical institutions in the city from January to June of 2017 and from January to June of 2018 was selected as the control group and the experimental group respectively. The number of varieties lacked and damaged, the costs of damaged drugs and the purchase costs of the emergency medicine were compared before and after the implementation of the security system. Results: After the implementation of the security system, compared with the control group, the number of varieties lacking in the emergency medicine in the experimental group decreased significantly (P<0.05), meanwhile, the number of varieties damaged, the costs of damaged drugs and purchasing costs also decreased significantly (P<0.05). Conclusion: The supply and security system of emergency medicine can effectively improve the shortage of emergency medicine, reduce the costs of damaged drugs and purchasing costs in medical institutions, and have the value of further popularization and application.