中国基本药物制度实施效果评价—以河北省为例

doi:10.5246/jcps.2015.10.088

中国药学(英文版) ›› 2015, Vol. 24 ›› Issue (10): 683-689.DOI: 10.5246/jcps.2015.10.088

中国基本药物制度实施效果评价—以河北省为例

杨照¹, 赵宜乐¹, 陈璟¹, 于嘉轩¹, 兰建闻^2*, 江滨^1*

1. 北京大学医学部药学院药事管理与临床药学系, 北京 100191
2. 河北省卫计委, 河北石家庄 050051

收稿日期:2014-12-15 修回日期:2015-05-24 出版日期:2015-10-21 发布日期:2015-07-28
通讯作者: Tel.: 86-10-13601100121, E-mail: binjiang@bjmu.edu.cn
基金资助:
China Medical Board Seed Grant.

Investigating on the effects of national essential medicine policy on primary care facilities in Hebei province: a case study

Zhao Yang¹, Yile Zhao¹, Jing Chen¹, Jiaxuan Yu¹, Jianwen Lan^2*, Bin Jiang^1*

1. Department of Administrative and Clinical Pharmacy, School of Pharmaceutical Sciences, Peking University Health Science Center, Beijing 100191, China
2. Health and Family Planning Commission of Hebei, Shijiazhuang 050051,China

Received:2014-12-15 Revised:2015-05-24 Online:2015-10-21 Published:2015-07-28
Contact: Tel.: 86-10-13601100121, E-mail: binjiang@bjmu.edu.cn
Supported by:
China Medical Board Seed Grant.

摘要/Abstract

摘要：

国家基本药物制度是中国新医改的重要组成, 是国家药物政策的核心。本课题选择代表省河北省为研究样本, 应用WHO/HAI标准方法对药品价格进行了归一化和比较分析, 同时建立间断时间序列模型(ITS), 从基本药物的使用对河北省基本药物制度实施效果进行定性和定量分析。研究发现, 基本药物制度实施后, 短期内基本药物配备、使用率显著增加, 但政策效果并未持续, 甚至有所反弹。为了进一步完善基本药物制度, 应加强合理用药培训, 增强医药人员合理用药意识, 实施基本药物分级配备与使用管理, 完善补偿机制从而控制药品费用, 并对基本药物制度的实施效果进行动态监测。

关键词: 基本药物, 政策效果, 间断时间序列模型

Abstract:

National essential medicine policy (NEMP) is an important part of new health care reform and core content of national drug policy. We chose Hebei province as a case to study, utilized standard methods from WHO/HAI and built interrupted time series (ITS) model to qualitatively and quantitatively evaluate the effects of NEMP in Hebei province from the utilization of essential medicines. Shortly after implementing EMP, the purchasing and utilization rate of essential medicines significantly increased, but no further continuous effects. In order to perfect the essential medicine policy, training of rational drug utilization should be strengthened, hierarchical essential medicine list and dynamic monitoring on the effect of NEMP are necessary.

Key words: Essential medicine, Policy effect, Interrupted time series model

中图分类号:

R951

Supporting:

杨照, 赵宜乐, 陈璟, 于嘉轩, 兰建闻, 江滨. 中国基本药物制度实施效果评价—以河北省为例[J]. 中国药学(英文版), 2015, 24(10): 683-689.

Zhao Yang, Yile Zhao, Jing Chen, Jiaxuan Yu, Jianwen Lan, Bin Jiang. Investigating on the effects of national essential medicine policy on primary care facilities in Hebei province: a case study[J]. Journal of Chinese Pharmaceutical Sciences, 2015, 24(10): 683-689.

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中国基本药物制度实施效果评价—以河北省为例

Investigating on the effects of national essential medicine policy on primary care facilities in Hebei province: a case study

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