资源描述：
《青海省基层医疗卫生机构基本药物配送状况浅析》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。
1、青海省基层医疗卫生机构基本药物配送状况浅析时敏（青海省药品采购中心，西宁市810000）摘要目的：分析青海省基层医疗卫生机构基本药物配送状况，建议政府部门加大监管力度,引进市场竞争机制,增加偏远地区药品销售的投入,提高基本药物的配送率。方法：针对青海省目前面临的配送难、药价贵和配送率低等实际情况，分析现行的基本药物相关规定和实施效果，总结基层卫生行政部门制定的配送企业遴选招标工作流程各环节存在的问题，并给出解决方案。结果：青海省在实施国家基本药物制度后，药品流通领域产业资源进一步整合，产业结构得到优化升级，但是药品零
2、售连锁企业下设门店的51.8%集中在西宁、海东市，对黄南、果洛、玉树等偏远地区，尤其是地域广、人口分散、农牧民个体用药消费水平不高的农牧区和山区，药品供应保障能力很低。各地区医疗卫生机构采购中不良行为依然存在。药品采购监管能力较低，药品采购配送工作效率低。结论：建议相关政府机构加强监督频次和力度，惩戒医疗卫生机构、生产和流通企业在药品采购中的不良行为；药品零售业引入竞争机制,打破地方壁垒；加大对偏远地区药品销售网络的投入，着力提高配送率，以满足医疗卫生机构的用药需求。关键词基本药物制度；药品配送；基层医疗卫生机构An
3、alysisofbasicmedicamentdistributionactualityinQinghaiprovincePrimaryHealthCareInstitutionShiMinQinghaiprovinceMedicinesprocurementcenter,Xining,810000,ChinaAbstract:Objective:Toinvestigatethedistributionactualityofessentialmedicinesinremotenorthwesternprovinces
4、medicalinstitutionsofChina.Onthebasisofthis,theauthorintendedtoprovidereferencetogovernmentdepartments.Methods:Basedon the situationofdistributiondifficult,highdrugpriceandlowdeliveryrate,Wemadeaspecificanalysisoncurrentessentialmedicinepolicyregulationsandimpl
5、ementationeffects,enterprisescale、modeofoperationandcharacteristicofessentialmedicinedelivery.Wefoundthatproblemsexistedinthebiddingworkprogramofdistribution enterpriseswhichmadebyhealth organizationof the grass-roots.Results:Resourcesinmedicamentcirculationind
6、ustrygetfurtherintegration,theindustrialstructureisoptimizedandupgradedaftertheimplementationofaseriesofbasicmedicalsystemsuchascentralizedbidding,uniformdistributionandprice.Buttherearestillaconsiderableproportionofrealityproblemfacedwithus,51.8percentofpharma
7、ceuticalretailchainstoresiscentralizedinXining,someremoteregionsespeciallyinpastoralareasandcountrysidehasquitelowessentialmedicinesavailability.Nonstandardphenomenonofregionalmedicalinstitutionspurchasestillexist,problemsofpurchasefromtheexternalchannelsandnot
8、payintimeoccurfrequently.Thelowdrugprocurementregulationcapabilityalsoinfluencedthedrugprocurementanddistributionindifferentlevels.Conclusion：Relevantgovernmentdepartmentssh
