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国家基本药物制度是中国新医改的重要组成,是国家药物政策的核心。本课题选择代表省河北省为研究样本,应用WHO/HAI标准方法对药品价格进行了归一化和比较分析,同时建立间断时间序列模型(ITS),从基本药物的使用对河北省基本药物制度实施效果进行定性和定量分析。研究发现,基本药物制度实施后,短期内基本药物配备、使用率显著增加,但政策效果并未持续,甚至有所反弹。为了进一步完善基本药物制度,应加强合理用药培训,增强医药人员合理用药意识,实施基本药物分级配备与使用管理,完善补偿机制从而控制药品费用,并对基本药物制度的实施效果进行动态监测。
The national essential drug system is an important component of China’s new medical reform and is the core of the national drug policy. This subject chooses Hebei as the research sample on behalf of the province, normalizes and compares the drug prices by using the WHO / HAI standard method, and establishes the discontinuous time series model (ITS). From the use of essential drugs, Implementation of the results of qualitative and quantitative analysis. The study found that after the implementation of the basic drug system, the provision of essential medicines and the utilization rate have increased significantly in the short term, but the policy effect has not continued or even rebounded. In order to further improve the basic drug system, we should strengthen the training of rational drug use, enhance the sense of rational drug use by medical staff, implement the grading and management of essential drugs, improve the compensation mechanism to control the cost of drugs, and monitor the implementation effect of the basic drug system dynamically.