安徽省 36家公立医院药品短缺情况调查分析

目的调查分析安徽省公立医院临床常用药品短缺情况及原因，并提出建议与对策，以期不断完善短缺药品的供应保障机制。方法采用问卷调查方式，调查 2020年 1月至 2022年 12月安徽省 16个地区 37家公立医院( 30家三级医院、 3家二级医院和 4家卫生院 /社区医院)药品短缺情况及短缺原因，并进行统计分析。结果调查共发放问卷 37份，回收有效问卷 36份，有效回收率为 97.30%。调查显示: 36家医院共 97种短缺药品，其中基本药物短缺 69种，占比为 71.13%；短缺药品按药理作用分为 15大类，排名前三位的分别为作用于中枢神经系统药物品种(占比 14.43%)、内分泌系统药物和抗肿瘤药物(占比均为11.34%)。药品短缺主要原因为:生产企业停产或产能不足(占比 13.03%)、原料药短缺、经营企业供应不足、疫情或其他突发公共卫生事件影响(占比均为 11.76%)。结论多种因素引起安徽省公立医院药品短缺现象，需要多方的政策和制度配合实施，从而改变医院药品短缺的现状。

Investigation and analysis of drug shortage in 36 public hospitals in Anhui province

Objective To investigate and analyze the shortage of commonly used clinical drugs in public hospitals in Anhui provinceand its reasons, and propose suggestions and countermeasures to continuously improve the supply guarantee mechanism of shortagedrugs.Methods A questionnaire survey was conducted to investigate the drug shortage situation and reasons in 37 public hospitals(30 tertiary hospitals, 3 secondary hospitals, and 4 health centers/community hospitals) in 16 regions of Anhui province from January 2020 to December 2022, and statistical analysis was conducted.Results A total of 37 questionnaires were distributed and 36 validquestionnaires were collected, with an effective recovery rate of 97.30%. The survey showed that 36 hospitals had a total of 97 drugs inshortage, of which 69 were essential drugs, accounting for 71.13%; Drugs in short supply were divided into 15 categories based on theirpharmacological effects, with the top three being drugs that affected the central nervous system accounting for 14.43%, and endocrineand anti-tumor drugs accounting for 11.34%. The main reasons for the shortage of drugs were: 13.03% of production enterprises hadstopped production or insufficient production capacity, 11.76% of raw material drug shortages, insufficient supply of operating enterprises, and the impact of epidemic or other sudden public health events, respectively.Conclusion Multiple factors have caused the shortage of drugs in public hospitals in Anhui province, and it requires the cooperation and implementation of multiple policies and systems to change the current situation of drug shortage in hospitals.