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目的研究国家基本药物制度对我国基层医疗卫生机构药品可及性的影响。方法选取上海、江西、四川和重庆共24家基层医疗机构进行问卷调查和小组访谈。结果国家基本药物制度实施后,基层医疗卫生机构药品的配备率、招标采购、配送时间以及患者药品负担得到了明显改善,药品零差率销售补偿机制不断完善。结论我国基层医疗卫生机构基本药物的可及性不断提高,但是在目录遴选、招标采购、药品配送、人才队伍建设和补偿机构方面仍然存在着诸多问题。
Objective To study the influence of the national essential drug system on the drug availability of primary health care institutions in China. Methods A total of 24 grass-roots medical institutions in Shanghai, Jiangxi, Sichuan and Chongqing were surveyed and interviews were conducted. Results After the implementation of the national essential drug system, the rate of equipment, bidding and purchasing, delivery time and the patient’s drug burden of primary medical and health institutions have been significantly improved. The sales compensation mechanism of zero-slip drugs has been continuously improved. Conclusion The availability of essential medicines in primary health care institutions in our country is improving continuously. However, there are still many problems in catalog selection, bidding and procurement, drug delivery, talent pool construction and compensation agencies.