基于销售终端视角浅议如何解决基本药物短缺问题

Analysis of Resolving the Problems of Shortage of Essential Drugs Based on the Perspective of Sale Terminals

目的:为解决基本药物因市场不足而发生短缺的问题提供参考。方法:基于对基层医疗卫生机构、药店和二、三级医院(以下称为"大医院")的经营情况以及患者用药选择影响因素的剖析,研究四者对基本药物市场产生的影响。结果:基层医疗卫生机构和药店均存在患者群流向大医院的现象,基本药物的市场受到影响,而"以药补医"的经济激励机制导致医院冷落基本药物,且患者对基本药物存在着认识误区。结论:基层医疗卫生机构仍然是保障基本药物市场的主体,药店和患者扮演着重要角色,而大医院作为促进基本药物市场需求的关键应加快改革步伐。

OBJECTIVE：To provide reference for resolving the problems of the shortage of essential drugs due to insufficient supply of essential drug market.METHODS：The impact of essential drugs market among the primary medical institutions,pharmacies,hospitals,and patients based on the analysis of operating conditions and choice of medication.RESULTS：The patient group was flowing to large-scale hospital from primary medical institutions and pharmacies,while essential drugs sales was declining in hospitals for the economic incentives mechanism of＂drug-maintaining-medicine＂.And there was misunderstanding of essential drugs in patients.CONCLUSION：Primary medical institutions should be the ideal subject for essential drugs sales,while pharmacies and patients will play a key role.As the critical aspect of the market,the hospitals should speed up the pace of reform.