摘要
目的:探讨煤炭总医院(以下简称"我院")药品短缺的原因及对策,保障药品供应。方法:对2016年药品请领单进行回顾性分析,将临床使用药品的断货时间>3 d的短缺药品按其发生原因、价格、剂型及是否为国家基本药物、医保甲类药物、低价药品目录中药物分类统计,并将相关内容分别录入Excel软件进行分析。结果:2016年药库共接受各部门调剂申请计划46 066条,药品供应不足记录1 060条,药品短缺率为2.30%(1 060/46 066),实际缺货品种数59个。外因是导致我院药品短缺的主要原因,导致药品短缺56个。价格是发生药品短缺的重要因素,我院短缺的59个药品中,<20元药品占57.63%(34/59);短缺的西药占总短缺药品数的79.66%(47/59),中成药占20.34%(12/59);西药注射剂占比最大,达到28.81%(17/59);17个(占28.81%)为国家基本药物;48个(占81.36%)为医保甲类药品,11个(占18.64%)为低价药品,结论:造成药品短缺的原因较多,可通过量化商业公司工作表现与建立微信采购平台等方式应对,并呼吁管理部门通过建立药品短缺信息发布平台、合理制订药品价格等方案预防药品短缺问题,而以上解决方法需要国家药品监督管理部门、药品生产企业、药品销售企业、医疗服务机构等部门通力协作。
OBJECTIVE： To probe into the causes Hospital （ hereinafter referred to as ＂our hospital＂ ）, so 2016 were retrospectively analyzed, application data and countermeasures of drug shortages in China Meitan General as to ensure the drug supply. METHODS： Drug delivery list of of shortage drugs out of stock for more than 3 days were respectively inputted into Excel and analyzed in terms of shortage causes, price, dosage, whether it was national essential drugs, health care drugs, whether it belonged to low price list. RESULTS ： There were 46 066 transshipment application plan accepted to drug storage from different departments in 2016, the records of drug supply shortages were 1 060, with the rate of 2.30% （ 1 060/46 066 ）, and the actual shortage categories were 59. Meanwhile, external causes were the main factors of drug shortages, the number of drug shortages were 56. Price was the essential factors of drug shortages, of the 59 kinds of drug shortages, drugs 〈 20 yuan accounted for 57.63% （34/59）. The ratio of western medicine shortages versus total drug shortages was 79.66% （47/59）, and the data for Chinese patent medicine was 20.34% （12/59）. The ratio of western medicine injections took the lead, accounting for 28.81% （17/59）. National essential drugs were 17 （28.81%）, health care drugs were 48 （81.36%） and low price drugs were 11 （18.64%）. CONCLUSIONS： Drug shortages can be induced by various causes, which can be dealt with through quantitative job performance in commercial corporation and establishment of procurement platform of WeChat. It is suggested that the administrative authorities should establish information platform of drug shortages and reasonable formulation of drug price to prevent drug shortages, in National Regulatory Authority, drug manufacturers, drug addition, these measures need closely cooperating among sales enterprise and medical service institution.
出处
《中国医院用药评价与分析》
2017年第6期839-842,共4页
Evaluation and Analysis of Drug-use in Hospitals of China
关键词
药品短缺
原因解析
对策
Drug shortages
Causes analysis
Countermeasure
作者简介
主管药师。研究方向：医院药学。E—mail：liyiwenjackie@sina．cn
通信作者：主任药师。研究方向：医院药学。E—mail：lijing0127@sina．com
