National Essential Medicines List and policy practice: a case study of China's health care reform.
National Essential Medicines List and policy practice: a case study of China's health care reform.
复制标题
国家基本药物目录与政策实践：以中国医疗改革为例。
DOI：
10.1186/1472-6963-12-401
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发表时间：
2012-11-14
影响因子：
2.8
通讯作者：
Zhang X
中科院分区：
文献类型：
--
作者：
Tian X;Song Y;Zhang X
2009年，中国实施国家基本药物制度，颁布了《2009年国家基本药物目录》。根据该制度的政策，基层医疗卫生机构只能储备和使用《处方清单》上的基本药物。同时，各省可以选择制定自己的补充药品清单。这项研究的目的是为新出现的问题提出建议，并确定今后的决策趋势。本研究对2009年国家基本药物目录和全国29个省份的增补药品目录进行了统计分析。在此基础上，结合国家基本药物制度，对省级增补药品进行了研究。 结果表明，《2009年国家基本药物目录》对疾病的覆盖面较广，用药品种合理。29个省份平均增补药品数量为207种，每种药品平均纳入2.9个省级目录。在一半以上的省份（>15个）中，只有2.6%的补充药品被纳入，这表明区域差异很大。在32种最常补充的药物中，只有18种符合选择原则，其中两种有严格的使用限制。《2009年国家基本药物目录》的结构和选择比较合理。但主要问题是补充药品目录中的药品选择过多、不科学。省级补充药品目录的作用没有发挥出来，影响了我国基本药物制度的有效性。
In 2009, China implemented the national essential medicines system by enacting the National Essential Medicines List 2009. According to the policy of this system, primary health care institutions can only stock and use essential medicines on the prescribed List. Meanwhile, each province can choose to make its own list of supplemented medicines. The goal of the study is to provide suggestions for emerging problems and identify future policy-making trends. In this study, we statistically analyzed the National Essential Medicines List 2009 and lists of supplemented medicines of all 29 provinces. We also examined the rationality of such medicines based on the DELPHI method and literature review, after which we studied the provincial supplements in relation to the national essential medicines system. We demonstrated that the National Essential Medicines List 2009 provides a comprehensive coverage of diseases as well as reasonable varieties of drugs for their treatment. The average number of supplemented medicines in 29 provinces is 207, with each medicine included in 2.9 provincial lists on average. Only 2.6% supplemented medicines are included by more than half of the provinces (>15), indicating great regional variance. Among the 32 most frequently supplemented medicines, only 18 meet the selection principles, including two with strict usage restrictions. The structure and selection of the National Essential Medicines List 2009 are relatively reasonable. The main problems, however, include the excessive and non-scientific selection of medicines on the supplemented medicines list. The function of the provincial lists of supplemented medicines has not been achieved, which has influenced the effectiveness of the national essential medicines system in China.
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影响因子：
9.7
作者：
Sun, Qiang;Santoro, Michael A.;Eggleston, Karen
通讯作者：
Eggleston, Karen
影响因子：
120.7
作者：
RIES, CA;SAHUD, MA
通讯作者：
SAHUD, MA
DOI：
10.1186/1743-8462-3-5
发表时间：
2006-05-30
期刊：
Australia and New Zealand health policy
影响因子：
--
作者：
Zhang, Yan;Harvey, Ken
通讯作者：
Harvey, Ken
影响因子：
--
作者：
Hogerzeil, HV
通讯作者：
Hogerzeil, HV
影响因子：
2.8
作者：
Chen, Wen;Tang, Shenglan;Wagner, Anita K.
通讯作者：
Wagner, Anita K.