| 潘晨婧,童迁,苏丹.安徽省医疗机构突发公共卫生事件应急药品供应保障现状分析[J].安徽医药,2024,28(2):411-417. |
| 安徽省医疗机构突发公共卫生事件应急药品供应保障现状分析 |
| Status quo of drug supply guarantee in Anhui medical institutions for public health emergencies |
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| DOI：10.3969/j.issn.1009-6469.2024.02.045 |
| 中文关键词: 突发公共卫生事件 医疗机构 应急药品 供应保障 安徽省 |
| 英文关键词: Emergency public health event Medical institution Emergency medicine Supply guarantee Anhui province |
| 基金项目:安徽省卫生健康软科学研究项目( 2020WR03016)；高等学校省级质量工程项目( 2021jyxm1799) |
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| 中文摘要: |
| 目的通过深入探析安徽省医疗机构突发公共卫生事件应急药品供应保障现状，分析应急药品在不同医疗机构的可获得性及短缺障碍因素，为完善我国应急药品供应保障体系建设提供思路。方法 2022年 9―11月运用文献研究法、问卷法等，向安徽省 171家医疗机构进行调查，实际回收 150份问卷，除无效问卷及废卷，共 139家医疗机构纳入研究。参考安徽省药学会药物经济学专委会委员所在医疗机构的级别比例，其中三级医疗机构 73家，二级医疗机构 53家，一级医疗机构 13家。比较该省不同等级的医疗机构应急药品准备能力的差异，从解决实际问题的角度完善应急药品供应保障体系的建设。结果调研显示，在应急药品准备能力的三个方面，该省各级医疗机构总体上差异有统计学意义( P<0.05)，医疗机构等级越高，应急药品准备能力越强，二级与一级医疗机构之间差距很小。该省应急药品短缺障碍因素总体上差异无统计学意义，但对各级医疗机构来说，其中有 7个应急药品短缺障碍因素差异有统计学意义，它们分别是药品价格偏低、原材料短缺、药品市场需求量小、企业不愿意生产、药品生产质量管理规范认证改造或未通过认证、药品生产企业数量少、存在可替代的高价新药、利润过低导致经营企业不愿意经营药品。结论突发公共卫生事件下，该省医疗机构应急药品供应保障形势仍很严峻，各等级医疗机构之间有差距，三级医疗机构应急药品准备能力最强。努力提升基层医疗机构的应急药品准备能力，克服应急药品短缺的障碍因素，能辅助健全该省医疗机构突发公共卫生事件应急药品供应保障体系。 |
| 英文摘要: |
| Objective Through in-depth analysis of the current situation of the supply and guarantee of emergency drugs for publichealth emergencies in health institutions in Anhui province, the availability and shortage obstacles of emergency drugs in differenthealth institutions were analyzed to provide ideas for improving the construction of the supply and guarantee system of emergency drugsin China. Methods Literature research method and questionnaire method were used to investigate 171 health institutions in AnhuiProvince from September to November 2022, and 150 copies of questionnaires were collected. Excluding invalid questionnaires and dis.carded papers, a total of 139 health institutions were included in the study. Referring to the level ratio of health institutions with themembers of Pharmaceutical Economics Committee of Anhui Pharmaceutical Society, there were 73 third-level health institutions, 53 second-level ones and 13 first-level ones. A comparison was made of the difference inabilities to prepareemergency drugsin healthinsti.tutions at different levels in Anhui province, so as to improvethe construction of emergency drug supply guarantee system from the per.spective of solving practical problems.Results The survey showed that there were statistically significant differences in the three as.pects of emergency drug preparation ability among all levels of health institutions in Anhui province on the whole (P<0.05). The higher the level of health institutions, the stronger the emergency drug preparation ability, and the gap between second-level and first-level health institutions was small.There was no significant difference in barrier factors of emergency drug shortage in Anhui province on thewhole, but for health institutions at all levels, there were 7 barrier factors for emergency drug shortage with statistical differences, whichwere low drug prices,shortage of raw materials,small drug market demand, reluctance of enterprises to produce,reform of pharmaceuti. cal production quality management standard certification or failure in passing the certification,small number of drug production enter.prises, expensive alternative drugs, and too low profitsleading to a reluctance of enterprises to trade in pharmaceuticals. Conclusions In case of public health emergencies, the situation of emergency drug supply guarantee for health institutions in Anhui province is stillvery severe. There is a gap amonghealth institutions at different levels, and third-level health institutions have the strongest emergencydrug preparation ability. Efforts to improve the emergency drug preparation ability of primary health institutions and overcome the ob.stacle factors for emergency drug shortage can help improve the emergency drug supply guarantee system of health institutions duringpublic health emergencies in Anhui province. |
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