北京市社区卫生服务中心基本药物制度实施效果

Effect on implementing essential medicine system at community health service centers in Beijing

目的:对北京市基本药物制度实施效果进行分析,并就完善相关政策提供建议。方法:从基本药物可获得性、可负担性和合理用药等方面,采用定量与定性相结合的方法进行研究。结果:基本药物配备率和使用率无显著变化;药品价格变化不大,单张处方费用下降,药品可负担性有所提高;处方用药行为比较规范,但部分医务人员对基本药物仍不够熟悉。结论:进一步明确基本药物最低使用比例,保证各项相关政策衔接,提高医务人员对基本药物的认可度,合理控制药品费用的增长,提高可负担性。

Objectives：In this paper, we discuss the effects of implementation of essential medicine system in community health centers in Beijing and provide references for perfecting policy. Methods： Quantitative and qualita- tive methods were used for data collection, and we evaluated the availability, affordability, and rational use of essen- tial medicines. Results：We found that the equipping and utilization rates of essential medicine in community health centers did not notably change. Drug prices changed a little, the cost of a single prescription fell, affordability in- creased, and clinical use of medicines improved. However, some medical staff was not familiar with the essential medicines. Conclusion ： We suggest clearing the lowest utilization proportion of essential medicine, bringing together relevant policies, training medical staff to how to approve essential medicines, and controlling the growth of drug ex- penditure in order to improve affordability.