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目的:分析陕西省县级医疗机构基本药物的供应与配备情况,为完善相关政策提供依据与建议。方法:采用分层整群随机抽样法抽取陕西省县级医疗机构样本,调研其2012年基本药物的供应与配备情况,主要指标包括基本药物的配备情况、采购金额、缺(断)货情况、中标情况等。结果:陕西省县级医疗机构基本药物配备品种数占所有药品总数的69.1%,基本药物采购金额占药品总采购金额的42.4%,均达到阶段性目标要求;基本药物采购金额前25位的化学药中,省级增补药品占33.9%;采购金额前25位的中成药中,省级增补药品占51.9%,省级增补药品较好地满足了基层用药需求;27家样本机构均存在不同程度的药品缺(断)货现象;并且部分基本药物空标给医疗机构的用药产生了影响。结论:2012年度陕西省县级医疗机构基本药物的供应与配备状况良好,但是药品缺(断)货情况值得重视,建议完善集中采购办法,降低空标率,提高中标率,同时加强基本药品的缺(断)货管理,从而更好地满足基层群众用药需求。
Objective: To analyze the supply and equipment of essential medicines in county-level medical institutions in Shaanxi Province, and to provide basis and suggestion for perfecting relevant policies. Methods: A stratified cluster random sampling method was used to extract samples from county-level medical institutions in Shaanxi Province to investigate the supply and allocation of essential medicines in 2012. The main indicators include the allocation of essential medicines, purchase amount, lack of goods, Successful bid situation. Results: The number of essential medicines provided by county-level medical institutions in Shaanxi Province accounted for 69.1% of the total number of medicines and the purchase amount of essential medicines accounted for 42.4% of the total purchase amount of medicines, meeting the phased objectives. The top 25 medicines Among the medicines, provincial-level supplements accounted for 33.9%; among the top 25 purchase-ready proprietary Chinese medicines, 51.9% were provincial supplements, and provincial supplements better met the demand for primary drug use; 27 sample institutions were all at varying degrees Of the drug shortage (broken) goods phenomenon; and some of the empty space to the basic medical drugs to medical institutions had an impact. Conclusion: The supply and equipment of essential medicines at county-level medical institutions in Shaanxi Province are in good condition in 2012, but the situation of shortage of medicines is worth paying attention to. Therefore, it is suggested to improve the centralized procurement methods, reduce the rate of empty labeling and improve the winning rate, and at the same time strengthen the basic medicines Lack of (off) cargo management, so as to better meet the needs of grassroots drug users.