我国29省基本药物增补目录对比分析

A Comparative Analysis of the Provincial Essential Medicine Supplementary Lists of 29 Provinces of China

目的:对比分析29省(市、自治区)基本药物增补目录,为国家调整基本药物目录及规范省级基本药物增补目录提供依据。方法:从各省政府网站下载收集省级基本药物增补目录,并作描述性统计分析,比较形式、数量、分类的差异。结果:省级增补目录在形式、增补药物的数量种类上存在较多差异,增补数量与各省经济、卫生需求有相关性。结论:建议国家规范省级增补目录的格式;限定增补数量和各科比例;控制抗菌药、特殊管理药品、中药注射剂的增补;增加儿科用药、慢性病用药的品种和剂型范围。

Objective： To provide the basis for the adjustment of Chinese national essential medicines list （CNEML） and for the standardization of provincial essential medicine supplementary lists （PEMSLs） through comparing the PEMSLs from 29 provinces, municipalities and autonomous regions. Methods： PEMSLs were collected from provincial governments＇ website, the descriptive statistic analysis was conducted and the format, quantity and categories were compared. Results： The PEMSLs differed in format, quantity or categories. There was a correlation between the amount of supplementary medicines and the local economic and health demand. Conclusion： It is suggested that the PEMSLs＇ format should be normalized, the amount and proportion of subjects of supplementary medicines should be restricted, and antibacterials, special drugs and traditional Chinese medicine injections should be under control. The drug varieties and the range of dosage form of pediatric drugs and those for chronic diseases should be increased.