2012-2015年南京市属31家二、三级医疗卫生机构基本药物采购配备分析
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篇名: 2012-2015年南京市属31家二、三级医疗卫生机构基本药物采购配备分析
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摘要: 目的:为制定促进基本药物在二、三级医疗卫生机构推广应用的政策提供依据。方法:调取2012年1月-2015年12月南京市属所有的共计31家二、三级医疗卫生机构的药品采购入库数据,利用Excel 2010和SPSS 20.0软件汇总、统计和分析基本药物的采购金额和配备数量情况。结果:2012-2015年,31家医疗卫生机构基本药物采购金额占药品总采购金额的比例(简称“基本药物采购金额占比”)平均分别为18.33%、18.56%、17.19%、17.53%,国家基本药物采购金额占基本药物采购金额的比例(简称“国家基本药物采购金额占比”)平均分别为31.14%、29.40%、25.69%、25.79%,配备的基本药物通用名数平均分别为189.84、205.58、210.26、206.65个;其中,2014年基本药物采购金额占比、国家基本药物采购金额占比均较2013年显著降低(P<0.05),2013年配备的基本药物通用名数较2012年显著增加(P<0.05)。各年度二级医疗卫生机构基本药物采购金额占比均显著高于三级医疗卫生机构;综合医院基本药物采购金额占比均显著高于专科医院,配备的基本药物通用名数均显著高于中医院和专科医院;下辖社区卫生服务中心的二级医疗卫生机构基本药物采购金额占比均显著高于未下辖社区卫生服务中心的二级医疗卫生机构,差异均有统计学意义(P<0.05)。各年度综合医院基本药物采购金额占比与药品总采购金额均具有负相关性(P<0.05);所有医疗卫生机构配备的基本药物通用名数与全部药品通用名数均具有正相关性(P<0.05)。结论:2012-2015年南京市二、三级医疗卫生机构基本药物采购金额占比、国家基本药物采购金额占比及配备的基本药物通用名数差异较大,数值普遍较低,除个别医疗卫生机构外绝大多数没有达到江苏省卫生计生委的要求。医疗卫生机构的级别、类型、药品采购配备规模及是否下辖社区卫生服务中心均可能对其基本药物采购配备产生影响。
ABSTRACT: OBJECTIVE: To provide reference for formulating the policy of promoting the popularization and application of essential medicines in second grade or third grade medical institutions. METHODS: Drug purchase and warehousing data was collected from 31 second grade or third grade medicinal institutions in Nanjing during Jan. 2012-Dec. 2015. Excel 2010 and SPSS 20.0 software were used to summarize and analyze statistically the purchase amount of allocation quantity of essential medicines. RESULTS: The proportion of essential medicine purchase amount in total medicine purchase amount during 2012-2015 were 18.33%, 18.56%, 17.19%, 17.53% in 31 medicinal institutions (called “the ratio of essential medicine purchase amount” for short); the proportion of national essential medicine purchase amount in essential medicine purchase amount (called “the ratio of essential medicine purchase amount”for short) were 31.14%, 29.40%, 25.69%, 25.79%, respectively. The number of generic names for allocated essential medicines were 189.84, 205.58, 210.26, 206.65, respectively. The ratio of essential medicine purchase amount and the ratio of essential medicine purchase amount in 2014 were decreased significantly, compared to in 2013 (P<0.05). The number of generic names for allocated essential medicines in 2013 was increased significantly, compared to in 2012 (P<0.05). The ratio of essential medicine purchase amount in second grade medical institutions was significantly higher than third grade medical institutions, the ratio of essential medicine purchase amount in general hospital was significantly higher than special hospital; the number of generic names for allocated essential medicines was significantly higher than TCM hospital and special hospital; the ratio of essential medicine purchase amount in second grade medical institutions with community health service center in subjection to them was significantly higher than those without community health service center in subjection to them; there was statistical significance (P<0.05). There was negative correlation between the ratio of essential medicine purchase and total purchase amount of medicine in general hospitals (P<0.05). There was positive correlation between the number of generic name of allocated essential medicines and the number of generic name of all medicines in 31 medical institutions (P<0.05). CONCLUSIONS: The ratio of essential medicine purchase amount and national essential medicine purchase amount, the numbers of generic names of essential medicines were very different and low in these hospitals during 2012-2015. Just one or two had met the requirements of the Jiangsu provincial health and family planning commission. The grade, type, medicine purchase and allocation scale, administering community health service center all influence the purchase and allocation of essential medicines.
期刊: 2017年第28卷第21期
作者: 马洁,陶宜富,张海涛,刘义保
AUTHORS: MA Jie,TAO Yifu,ZHANG Haitao,LIU Yibao
关键字: 南京市;二、三级医疗卫生机构;基本药物;采购;配备
KEYWORDS: Nanjing city; Second grade or third grade medical institutions; Essential medicines; Purchase; Allocation
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