青海省基层医疗卫生机构基本药物配送存在的问题及应对策略

Existing Problems and Countermeasures of Essential Medicine Distribution Actuality in Primary Health Care Institutions of Qinghai Province

目的:提高基本药物的配送率,以满足基层医疗卫生机构的用药需求。方法:分析青海省基层医疗卫生机构基本药物配送情况,结合现行的基本药物相关规定,总结卫生行政部门制定的配送企业遴选招标工作流程各环节存在的问题,并提出应对策略。结果与结论:青海省在实施国家基本药物制度后,药品流通领域产业资源进一步整合,产业结构得到优化升级,基本药物配送率得到全面提高。但在基本药物配送的过程中仍存在药品配送批发和销售企业垄断现象严重、缺乏竞争机制,部分中标药品供货不足、配送率低,相关管理机构监管力度不够,药品零售门店区域分布不合理,配送企业素质较低等问题。针对以上问题,政府部门应加强监督管理和药物配送相关法律法规和政策的宣传,引入竞争机制,树立先进医药配送典型,并加大偏远地区药品销售的资金投入,以切实提高基本药物配送率,满足基层医疗卫生机构的用药需求。

OBJECTIVE：To improve the distribution rate of essential medicines,to meet the medication needs in primary health care institutions. METHODS：The in essential medicine distribution in primary health care institutions was analyzed,and combined with the current essential medicine policy regulations,problems existed in the bidding work program of distribution enterprises that made by health departments were summarized,and countermeasures were put forward. RESULTS ＆ CONCLUSIONS：Resources in medicament circulation industry get further integration,the industrial structure is optimized and upgraded,and the distribution rate is comprehensively improved after the implementation of national essential medicine system in Qinghai province. But there are still some problems,including serious monopolies in wholesale and sales enterprises,insufficient supply of some biding drugs,low distribution rate,inadequate supervision of relevant authorities,unreasonable regional distribution of drug retail stores and low quality of distribution companies. For above-mentioned problems,relevant government departments should strengthen supervision and propaganda of relevant laws,regulations and policies for medicine distribution,intensity to supervise medical institutions,introduce competition mechanism,establish advanced pharmaceutical distribution and increase capital investment in drug sales in remote areas to effectively improve distribution rate of essential medicines and meet the needs of primary medical institutions.