| 引用本文：杨肖光,朱晓丽,代涛.北京市社区卫生服务中心基本药物制度实施效果[J].中国卫生政策研究,2013,6(4):47-50 |
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| 北京市社区卫生服务中心基本药物制度实施效果 |
| 投稿时间：2013-03-12 修订日期：2013-04-10 PDF全文浏览 HTML全文浏览 |
| 杨肖光1, 朱晓丽1, 代涛1 |
| 中国医学科学院医学信息研究所/卫生政策与管理研究中心 |
| 摘要:目的：对北京市基本药物制度实施效果进行分析，并就完善相关政策提供建议。方法：从基本药物可获得性、可负担性和合理用药等方面，采用定量与定性相结合的方法进行研究。结果：基本药物配备率和使用率无显著变化；药品价格变化不大，单张处方费用下降，药品可负担性有所提高；处方用药行为比较规范，但部分医务人员对基本药物仍不够熟悉。结论：进一步明确基本药物最低使用比例，保证各项相关政策衔接，提高医务人员对基本药物的认可度，合理控制药品费用的增长，提高可负担性。 |
| 关键词:基本药物 可获得性 可负担性 合理用药 |
| 基金项目:中澳卫生与艾滋病项目“医药卫生体制改革评价研究” |
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| Effect on implementing essential medicine system at community health service centers in Beijing |
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| Abstract:Objectives：In this paper, we discuss the effects of implementation of essential medicine system in community health centers in Beijing and provide references for perfecting policy. Methods: Quantitative and qualitative methods were used for data collection, and we evaluated the availability, affordability, and rational use of essential medicines. Results：We found that the equipping and utilization rates of essential medicine in community health centers did not notably change. Drug prices changed a little, the cost of a single prescription fell, affordability increased, and clinical use of medicines improved. However, some medical staff was not familiar with the essential medicines. Conclusion: We suggest clearing the lowest utilization proportion of essential medicine, bringing together relevant policies, training medical staff to how to approve essential medicines, and controlling the growth of drug expenditure in order to improve affordability. |
| Key words:Essential medicine Availability Affordability Rational use of drugs |
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