重庆市基层医疗卫生机构基本药物制度实施效果

Effect on implementing essential medicine system at primary healthcare institutions in Chongqing

目的:对重庆市基本药物制度的实施效果进行评价,为进一步完善相关政策提供参考。方法:定量问卷调查与定性访谈相结合,从可获得性、可负担性、合理用药和药品质量等方面进行评价。结果:重庆市基层医疗卫生机构药品可获得性较好,可用基本药物512种,但在药品品种、价格等方面仍有较大的改善空间;基本药物使用增加,基本药物使用率达97.0%,但抗生素和激素的合理使用仍需改善;通过基本药物电子监管码和质量抽检,药物质量得到一定的保障。结论与建议:重庆市基本药物制度实施取得了一定的成效,但仍存在一些问题,需进一步完善基层卫生综合改革配套政策、动态调整基本药物目录、规范基药招标采购、加强合理用药的宣传与培训、完善监督与管理。

Objective ：In this paper, we analyze the effect of essential medicine in Chongqing and provide refer- ences for perfecting policy. Methods：Quantitative and qualitative methods were used for data collection, and we eval- uated the availability, affordability, rational use, quality of drugs. Results： We found that the availability of medi- cines was fine. There were 512 available medicines, but there was still much room for improvement in variety and price. The utilization rate of essential medicines has reached to 97 % , but the use of antibiotics and hormones has not improved significantly. The quality of medicines can be guaranteed by electronic drug code regulation and on - the - spot checks. Conclusions and suggestions： The essential medicine system in Chongqing is effective but still has some problems. We suggest improving primary health support policies, adjusting the essential medicine list, standardizing essential medicine bidding, and increasing training, supervision, and management for the rational use of drugs.