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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

路鱼涓 刘志远

中国药房2012,Vol.23Issue(16):1445-1447,3.
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.

中国药房

OACSCDCSTPCD

1001-0408

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