江苏基本药物可获得性实证研究Δ.PDFVIP

·基本药物论坛· 江苏省基本药物可获得性实证研究Δ ＊ 徐 伟 ，李 静（中国药科大学国际医药商学院，南京 211198） 中图分类号 R95 文献标志码 C 文章编号 1001-0408（2013）08-0676-04 DOI 10.6039/j.issn. 1001-0408.2013.08.02 摘 要 目的：为促进国家基本药物制度的实施提供参考。方法：采用世界卫生组织（WHO ）和国际健康行动欧洲机构的标准药 品调查法，对40个基本药物品种在南京、无锡、泰州和盐城的基层和非基层公立医疗卫生机构及零售药店的配备情况进行实地调 研，并以此为依据进行江苏省基本药物可获得性实证分析。结果：江苏省基层医疗卫生机构基本药物可获得性略高于非基层医疗 卫生机构；公立医疗卫生机构和零售药店基本药物可获得性总体差异不大；相同类型医疗卫生机构内，等效仿制药可获得性高于 原研药；不同病种之间基本药物可获得性不同；17种WHO 核心目录药品可获得性存在差异。结论：应参考《中国国家处方集》及 诊疗规范调整基本药物目录；提高基层医疗卫生机构基本药物配备品种数，推进二、三级医院的国家基本药物制度实施进度；对发 病率低的病种应建立基本药物储备方案或快速反应机制。 关键词 基本药物；可获得性；实证；江苏；世界卫生组织；标准药品调查法 Evidence-based Study on the Availability of Essential Drugs in Jiangsu Province XU Wei ，LI Jing （School of International Pharmaceutical Business ，China Pharmaceutical University ，Nanjing 211198，China ） ABSTRACT OBJECTIVE ：To provide reference for the implementation of national essential drug system. METHODS ：Accord- ing to the standard drug methodology of the World Health Organization （WHO ）and Health Action International （HAI ），this paper analyzed the availability of essential drugs based on the data collected from both public sectors and retail pharmacies in Nanjing ， Wuxi ，Taizhou ，Yancheng in terms of 40 essential drugs. RESULTS ：The availability of essential drugs in primary health care sec- tor was better than in general hospitals ，and it showed no gap between public sectors and retail pharmacies. In same type of medi- cal sector ，generic equivalent was more available than originator brand ；and the availability of essential drugs differed between dis- ease entities ；there was difference in the availability of 17core-list drugs of WHO. CONCLUSION ：It is recommended that essen- tial drugs list should be framed and adjusted referring to the National Formulary and the diagnostic and treatment practices ；mean- while it ’s still considerable to