我国应对部分药品短缺的策略初探

Countermeasures for Shortages of Certain Drugs in China

目的:为协助药品管理者应对药品短缺的挑战及合理使用短缺药品提供参考。方法:借鉴美国医疗机构药师协会的《药品短缺管理指南》并结合我国实际及我院药品短缺的管理实践,探讨对我国具有可操作性的药品短缺管理策略。结果与结论:建议借鉴美国食品与药品管理局的做法,通过卫生部、国家食品药品监督管理局和国家发改委等政府部门共同协调解决医疗必需药品的短缺问题,并在医疗机构建立应对药品短缺预案,从而减少药品短缺引发的临床安全隐患。

OBJECTIVE： To provide references for drug administrator in coping with the challenge of drug shortage and the promotion of rational drug use. METHODS： With American Society of Hospital Pharmacists Guidelines on Managing Drug Shortages as references, the feasible management strategies for drug shortage in China were put forward based on the reality of our country and our experience in the practice of drug shortage management. RESULTS ＆ CONCLUSIONS： It is advisable to draw experiences from U.S. Food and Drug Administration to tackle the problem of the shortage of essential drugs through the co-efforts of Ministry of Public Health, State Food and Drug Administration and Stage Development and Reform Committee and develop contingency planning strategy in health care organization to deal with the shortages of certain drugs and reduce potential clinical safety hazard induced by drug shortages.