上海市用药基本状况及与美国药品价格比较

目的：了解、掌握上海市用药基本状况，并比较其与美国药品零售价格水平。方法：统计分析1997年上海市医院用药资料，选取占购药金额约36．7％、列前23位的药品与美国同期药品零售价格进行比较。结果：1997年上海市用药种数为1057种，总金额为1426965197元，以抗感染、心血管系统用药和消化系统用药为多，占用药金额的56．46％。列前23位的药品中，以汇率计算，价格高于美国的有3种，其余均较美国低；以购买力平价计算，美国价格高于上海的有5种，其余均较上海低。总体价格比较，以汇率计算上海药品价格为美国的30％；而以购买力平价计算上海药品价格约为美国的1．1－1．5倍。结论：上海市的医院用药结构总体与文献报道一致，但高于全国平均水平。

The Essential Condition of the Drug Use in Shanghai and the Comparision of Drug Price with USA.

Objectivesi: The basic status of drug utilization in Shanghai is the aim of this uesearch, besides the comparison of drug price of Shanghai with US. Methods: Data of drug utilization of Shanghai in 1997 was analysed and the price of the top 23 drugs were compared with US' s at retailing level. Results: The number of drugs used in shanghai in 1997 is 1057 and the selling values is 1 426 965 197 yuan(RMB). Among all the categories, drugs sailing values of anti -infection, cardiovascular system and digestion system are much more excessive than others. The three account for 56. 46% of the total values. If we use currency exchange rate to transform US dollar into RMB, three of the top 23 drugs of Shanghai are higher than US' s. However, when we use PPPs to compare them, the price of five drugs of US are higher than Shanghai' s. With the comparison of general price level, the Shanghai' s is 30% of US' s by currency exchange rate, whereas the Shanghai' s price is 1. 1 - 1. 5 times higher than US' s by PPPs accounting. Conclusion: The resultes are as same as other literature reports, but the price level is higher than that of countrywide.