我国各级医疗机构对儿童用基本药物剂型和规格的需求调查

Demands of Dosage Forms and Specifications of Essential Medicines for Children in Different Levels of Medical Institutions in China:A Cross-sectional Survey

目的调查各级医疗机构对儿童用基本药物的剂型、规格需求及需求异同,为分级遴选各级医疗机构需求的儿童基本药物目录提供方法学参考和决策依据。方法在全国范围内抽样调研13个省/自治区/直辖市的三级医疗机构、二级医疗机构、社区服务中心和乡镇卫生院104家,对比各级医疗机构间药品品种、剂型、需求类型、需求程度的差异。结果三级医疗机构的药品品种、剂型、需求类型需求量及对药物需求程度均高于其他各级医疗机构(P<0.05),二级医疗机构高于社区服务中心和乡镇卫生院(P<0.05),社区服务中心和乡镇卫生院需求一致(P>0.05)。结论国内各级医疗机构对儿童用基本药物国外上市但国内缺乏、儿童适宜、临床急需剂型规格清单中各药品需求存在差异,后续研究可按医疗机构级别分级遴选、建立儿童适宜、临床急需的用药清单。

Objective To investigate and compare the demands of dosage forms and specifications of essential medicine for children in different levels of medical institutions, so as to provide references for selection of essential medicines for children by levels of medical institutions. Methods In 13 provinces or municipalities, 104 medical institutions, including tertiary, secondary and primacy medical institutions, were investigated by questionnaires. Kinds of drugs, dosage forms, requirement types and requirement levels of drugs were analyzed and compared in different levels of medical institutions. Results Tertiary medical institutions had higher demands than other levels of medical institutions for the number of drugs types, dosage forms and level of demand on each drug （P〈0.05）, secondary medical institutions were higher than primacy medical institutions （P〈0.05）, but community health service centers were the same as township health centers. Conclusion The demands of dosage forms and specifications of essential medicine for children in different levels of medical institutions are different. So future studies should develop the essential medicines list for children depend on different levels of care.