2018年上半年新疆维吾尔自治区22家医疗机构药品短缺预警监测分析及应对思考

目的:在新疆维吾尔自治区范围内开展短缺药品供应保障信息监测分析和预警模型研究,思考和探索我区药品短缺的处理措施及应对策略。方法:对全疆各区上报的短缺药品信息进行筛选整理,确认2018年上半年短缺药品;建立短缺药品预警模型,对2018年上半年的短缺药品进行预警分析;通过帕累托图分析短缺药品短缺原因。结果:2018年上半年全疆各区统计短缺药品共计171种;通过短缺药品预警模型计算,2018年上半年1级预警短缺药品共计17种,2级预警短缺药品共计98种,3级预警短缺药品共计56种。通过帕累托图分析,2018年上半年短缺药品短缺原因中,原料短缺致产能不足、其他原因、限价交易致企业不愿供应的累计构成比为0~80%,为影响药品短缺的主要原因;流标或废标、无企业供货的累计构成比为80%~90%,为影响药品短缺的次要原因;地域偏远导致企业不愿配送、临床用量小致企业不愿供应、原料垄断致产能不足的累计构成比为90%~100%,为影响药品短缺的一般原因。结论:我区短缺药品分布情况较全国其他地区有所不同,原料药短缺致产能不足、其他原因及限价交易致企业不愿供应为药品短缺主要原因。

Monitoring and Analysis Shortage of Drugs in 22 Medical Institutions in Xinjiang Uygur Autonomous Region by Early Warning Model

Objective:To carry out research on monitoring and analysis and early warning model of shortage drug supply security information in the Xinjiang Uygur Autonomous Region, and to consider and explore the treatment measures and coping strategies of drug shortage in our district. Methods:The shortage of drug information reported in various districts of Xinjiang was screening and sorting out, the shortage of drugs in the first half of 2018 were confirmed;an early warning model for shortage of drugs was established, and early warning analysis of shortage of drugs in the first half of 2018 was conducted. The reason of shortage of drugs was analyzed through Pareto chart. Results:In the first half of 2018, there were 171 kinds of shortage drugs in all districts of Xinjiang. According to the shortage drugs of early warning model, there were 17 kinds of first-level early warning shortage drugs, 98 kinds of second-level early warning shortage drugs and 56 kinds of third-level early warning shortage drugs in the first half of 2018. The results of Pareto chart showed that the reason of shortage of drugs was the shortage of raw materials, insufficient capacity, other reasons, and price limit trading. The cumulative composition ratio of enterprises unwilling to supply which was the main reason for the shortage was between 0% and 80%. The cumulative composition ratio of flow label or scrap and non-enterprise supply was between 80% and 90%. It was a secondary cause of drug shortage, geographically remote, enterprises were reluctant to distribute, and clinical use was small. The cumulative composition ratio of supply, raw material monopoly and insufficient production capacity was between 90% and 100%, which is the general reason for the shortage of drugs. Conclusion:The distribution of shortage of drugs in our district is different from other parts of the country. There is a shortage of raw materials, insufficient production capacity, other reasons and price limit transactions. Enterprises are reluctant to supply the main reason for drug shortage.