中国药房2012,Vol.23Issue(16):1445-1447,3.DOI:10.6039/j.issn.1001-0408.2012.16.02
重庆市基层医疗卫生机构实施国家基本药物制度的实践与思考
Practice and Thinking about National Essential Drug System of Primary Medical Institution in Chongqing
路鱼涓 1刘志远2
作者信息
- 1. 重庆医科大学管理学院,重庆400016
- 2. 重庆医科大学医学与社会发展研究中心,重庆400016
- 折叠
摘要
Abstract
OBJECTIVE: To study the effects of the implementation of national essential drug system in primary medical institutions in Chongqing. METHODS: Literature study and qualitative research were conducted. RESULTS: There were among problems in the implementation of essential drug system in primary medical institutions in Chongqing, such as species composition of essential drugs was unreasonable; the principle for the selection of experts was not clear; distribution efficiency was affected by purchase click-trough ratio; uniform bidding and distribution was more expensive than independent purchase; service population estimation method was unreasonable, and the motivation of staff was not high at primary level; the connection of essential drug system with basic medical insurance system should be strengthened. CONCLUSIONS: It is suggested to management essential drug list dynamically and establish the selection principle of scientific experts; centralized bidding and purchasing to follow market principles; estimate service population reasonably and give full play to incentives; strengthen supervision and speed up synchronous connection of medical care, medicine and insurance.关键词
基层医疗卫生机构/国家基本药物制度/实践Key words
Primary medical institution/ National essential drug system/ Practice
分类
医药卫生引用本文复制引用
路鱼涓,刘志远..重庆市基层医疗卫生机构实施国家基本药物制度的实践与思考[J].中国药房,2012,23(16):1445-1447,3.