国家基本药物制度实施前后上海市社区卫生服务中心药物配备情况的变化研究

目的：评价国家基本药物制度实施后上海市社区卫生服务中心基本药物供应的充分性,为完善国家基本药物制度提供参考。方法：比较上海市实施国家基本药物制度实施前、后城乡样本机构基本药物配备数量变化、样本机构基本药物配备的种类变化和各样本机构配备药品种类的变化情况。结果与结论：国家基本药物制度实施后,平均每家样本机构配备基本药物355种,与制度实施前相比增加了30种。基本药物的配备数量与上海市＂医保＂费用总额预算和药品加成率取消等因素有关。制度实施后,样本机构配备增加的基本药物有硝酸甘油等20种化学药品和生物制品,保济丸等28种中成药;配备减少的基本药物有15种化学药品和生物制品、4种中成药。各样本机构配备基本药物的种类存在一定差异,所有样本机构配备一致的药品种类有140种,均未配备的药品有166种,其中有13种药品属于未招标药品,有12种药品属于无企业投标药品。

Supply of Essential Drugs in Community Health Centers in Shanghai before and after the Implementation of National Essential Drug System

OBJECTIVE：To analyze the changes of the situation of essential drugs supply in community health centers after the implementation of national essential drug system（NEDS） in Shanghai.METHODS：The changes of the quantity and types of essential medicines supplied were compared before and after the implementation of NEDS;the diversity of drugs species supplied by different community health centers was also compared.RESULTS CONCLUSION：After the implementation of NEDS,355 types of essential drugs are provided evenly by the sample institutions,increased by 30 types than before at the same period.The quantity of essential drugs supplied is affected by the total fixed budget of ＂medical insurance＂ in Shanghai and the cancellation of drugs markup rate.After the implementation of NEDS,nitroglycerin and other 20 kinds of western drugs,Baoji pills and other 28 kinds of Chinese patent medicines are additionally provided by the sample institutions;15 kinds of western drugs and 4 kinds of chinese medicines disappear among essential drugs.There are some differences in the types of essential drugs among sample institutions.140 kinds of drugs are provided in every sample institution.166 kinds of drugs are provided in none of sample institution,in which 13 types haven＇t acquired public bidding and 12 types not tender by pharmaceutical enterprises.