二、三级公立医院实施国家基本药物制度存在的问题与对策

Problems and Countermeasures for the Use of Essential Drugs in Secondary and Tertiary Public Hospitals

目的:为提高二、三级公立医院基本药物使用比例提供参考。方法:调查基本药物在二、三级公立医院的使用现状,分析存在的问题,提出提高二、三级公立医院基本药物使用比例的建议。结果与结论:应打破公立医院的双向垄断地位、逐步转变公立医院和医务人员的收入结构,并借鉴国外经验,制定相应措施规范医师处方行为;充分发挥临床药师对处方的监督作用;对二、三级公立医院基本药物的使用比例给出明确的规定;同时应加大基本药物宣传,保障就医信息通畅,缓解医患信息不对称的状况。

OBJECTIVE： To provide reference for the extension of national essential drug system scope. METHODS： The use of essential drugs in public hospitals was briefly reviewed and the current problems of which were analyzed, then the corresponding recommendations to improve the essential drug use in secondary and tertiary public hospitals were put forward. RESULTS ＆ CON- CLUSIONS ： It is suggested to break the double monopoly position of public hospital, change the revenue structure of public hospi- tals and medical staff, refer to foreign experience and develop relevant measures to standardize prescribing behavior of pharma- cists; play the role of clinical pharmacist monitoring prescriptions; put forward clear specification for the use of essential drugs in secondary and tertiary public hospitals; at the same time, strengthen propaganda of essential drugs and guarantee unobstructed medi- cal information to alleviate the non-equivalent situation of doctor-patient information.