山东省不同经济发展水平地区抗精神病药配备情况分析

Analysis of allocation of antipsychotics in regions with different economic levels in Shandong province

目的 了解山东省不同经济发展水平地区抗精神病药的配备情况,为加强抗精神病药配备管理及提高区域间配备均衡性提供参考。方法 通过山东省医疗机构药品集中招标采购信息平台收集2016-2019年山东省二、三级公立医疗机构的抗精神病药采购信息,分析山东省不同经济发展水平地区抗精神病药的平均采购品种数、配备比例及每万人采购费用。结果 2016-2019年,山东省二、三级公立医疗机构采购的抗精神病药共有18种(第一、二代抗精神病药各9种),平均采购品种数为3.50~4.42种,其中欠发达地区的平均采购品种数(3.59~4.48种)总体略高于较发达地区(3.41~4.36种)。这4年间,抗精神病药的平均配备比例为17.19%,且大部分抗精神病药的配备比例呈波动性增长(年均增幅为4.64%~38.34%),且较发达地区第二代抗精神病药的配备比例总体高于欠发达地区;每万人采购费用呈波动性上升,增长范围为2.45~7 440.20元。在2016-2019年采购的18种抗精神病药中,分别有61.11%、61.11%、83.33%、72.22%的药物在较发达地区的每万人采购费用高于欠发达地区,且抗精神病基本药物的每万人采购费用总计数额(11 382.99~39 650.90元)也高于欠发达地区(8 353.15~30 561.77元)。结论 山东省抗精神病药的配备比例总体较低,较发达地区第二代抗精神病药配备比例高于欠发达地区。

OBJECTIVE To investigate the allocation of antipsychotics in regions with different economic levels in Shandong province,and to provide reference for strengthening the management of antipsychotics allocation and promoting the balance of regional allocation. METHODS The procurement information of the secondary and tertiary public medical institutions in Shandong province from 2016 to 2019 was collected from the Drug Centralized Bidding and Procurement Information Platform of Shandong Provincial Medical Institutions. The procurement varieties of antipsychotics,allocation proportion and procurement cost per 10 000people were analyzed in area with different economic levels in Shandong province. RESULTS From 2016 to 2019,there were 18kinds of antipsychotics purchased by secondary and tertiary public medical institutions in Shandong province(9 kinds of first-and second-generation antipsychotics respectively),and the average number of purchased varieties were 3.50-4.42. The average number of purchased varieties in undeveloped areas(3.59-4.48 kinds)were slightly higher than that in developed areas(3.41-4.36 kinds).In these four years,average allocation proportion of antipsychotics was 17.19%,and most of them showed a fluctuating increase(the average annual increase ranged 4.64%-38.34%). The allocation proportion of second-generation antipsychotics was higher in developed areas than that in undeveloped areas. The purchasing cost per 10 000 people showed an upward trend of fluctuation,ranging from 2.45 to 7 440.20 yuan. Among the 18 antipsychotics procured from 2016 to 2019,61.11%,61.11%,83.33% and72.22% of them were procured by developed areas with higher procurement costs per 10 000 people than by undeveloped areas.The total procurement cost of essential medicine per 10,000 people in developed areas(11 382.99-39 650.90 yuan)was also higher than that in undeveloped areas(8 353.15-30 561.77 yuan). CONCLUSIONS The allocation proportion of antipsychotics is low in Shandong province,and the allocation proportion of second-generation antipsychotics in developed areas are higher than that in undeveloped areas.