安徽省基层医疗卫生机构基本药物制度实施效果

目的：对安徽省基层医疗卫生机构基本药物的实施效果进行比较分析，为进一步完善相关政策提供建议。方法：从可获得性、可负担性和合理用药三个方面确定关键指标收集数据，对基本药物实施效果进行前后比较分析。结果：改革后基层医疗卫生机构基本药物的配备率、配送率和使用率逐年递增，可获得性良好；但配送企业的利益难以保证，影响基本药物配送率。在可负担性方面，基本药物采购和零售价格明显下降，基本药物可负担性得到提升，但存在少数药品价格偏高的问题；处方用药行为得到改善，但注射剂处方率呈上升趋势。结论：对基本药物不同品种采取不同配送模式；加强政府监管，确保生产企业以合理价格中标；针对农村居民的用药需求制定特殊用药政策；开展合理用药的培训和宣传，确保药品的规范使用。

Effect on implementing essential medicine system at primary healthcare institutions in Anhui Province

Objectives ：In this paper, we analyze the effects of implementing an essential medicine system in Anhui and provide references for perfecting policy. Methods：We performed pre-post comparative analysis of availabil- ity, affordability, and rational use of essential medicines in primary healthcare institutions of Anhui province. Re- suits：The delivery and utilization rate of essential medicines increased year on year, and availability was fine. How- ever, the delivery rate was affected because the interests of distribution enterprises could not be guaranteed. Whole- sale prices and retail prices of essential medicines fell significantly, and affordability of essential drugs improved. However, the price of some drugs was still higher. Clinical use of medicines improved, but the rate of prescribing in- jections rose. Conclusions：We suggest that different distribution patterns be used for different essential medicines. We suggest strengthening government supervision to ensure that manufacturers bid with reasonable prices. We also suggest paying attention to medication needs of rural residents while making provincial supplement lists and standardi- zing drug taking behavior to ensure patients receive suitable drugs, carrying out training and publicity on rational drug use in order to ensure the reasonable drug use.