摘要
目的对比分析"两票制"背景下药品集中配送和分散配送两种类型医院的药品供应情况。方法以云南省为例,收集医院无法执行"两票制"的药品清单并进行药品配送信息调查。结果集中配送组无法执行"两票制"的药品平均数为33种,分散配送组为17种。集中配送组无法执行"两票制"的药品29.6%是由于配送企业"两票制"货源未到位,分散配送组62.8%是由于生产企业不执行"两票制",两组间差异有统计学意义(P <0.001)。集中配送组和分散配送组无法执行"两票制"的药品大多为"临床必须、不可或缺、无法替代",占比分别为48.1%及63.6%,分散配送组大于集中配送组,两组间差异有统计学意义(P=0.005)。结论 "两票制"政策下,药品集中配送或分散配送模式各有利弊,从无法执行"两票制"的药品平均数量上来说,分散配送组的药品供应情况优于集中配送组。
Objective To compare and analyze the drug supply models under the "two-invoice system" in hospitals with or without centralized distribution. Methods Yunnan province was used as an example, list of drugs that could not implement the "two-invoice system" was collected and drug distribution information was investigated. Results The average number of drugs failing to implement the "two-invoice system" was 33 in the centralized distribution group, and 17 in the non-decentralized distribution group. In centralized distribution group, 29.6% of the drugs failing to implement the "two-invoice system" was due to the delivery company’s resource supply problem, while 62.8% was the production companies refused to practice the "two-invoice system" in the non-centralized distribution group, and the difference between the two groups was significant(P<0.001). Most drugs failing to implement the "two-invoice system" in both groups were "clinically needed,indispensable, and irreplaceable", accounting for 48.1% and 63.6% respectively with significant difference(P= 0.005). Conclusion Both centralized or non-centralized distribution models have their own advantages and disadvantages under the "two-invoice system" policy. Drug supply in the non-centralized distribution group is better than that in the centralized group.
作者
黄润青
石秀园
陈云娥
李璠
HUANG Run-qing;SHI Xiu-yuan;CHEN Yun-e;LI Fan(School of Pharmaceutical Sciences & Yunnan KeyLaboratoty of Pharmacology for Natural Products,Kunming Medical University,Kunming 650500)
出处
《中南药学》
CAS
2019年第3期458-461,共4页
Central South Pharmacy
基金
国家社会科学基金项目(No.14BGL144)
关键词
两票制
药品配送
药品流通
集中配送
分散配送
two-invoice system
drug distribution
drug supply
centralized distribution
decentralized distribution
