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目的:分析国家基本药物采购配送机制构建情况及实施现状,为国家完善相关政策提供依据。方法:通过抽样调查,对26省省级调研数据和629家基层医疗卫生机构调研数据进行描述性统计分析。结果:总结了构建国家基本药物采购配送机制取得的成效及存在的主要问题。结论:样本地区国家基本药物采购配送工作取得了明显成效,但仍存在许多问题。建议政府加大特殊药品生产供应的扶持力度,进一步完善基本药物招标采购办法,保障基本药物质量与稳定供应,并在突发事件急诊抢救和上级医院转诊患者就诊时适当放宽用药品种范围。
OBJECTIVE: To analyze the construction of state procurement and delivery mechanism for essential drugs and the status quo of its implementation so as to provide the basis for the country to improve related policies. Methods: Through the sample survey, descriptive statistical analysis was made on the data of 26 provinces and the survey data of 629 primary health care institutions. Results: The achievements made and the main problems existing in the construction of procurement and delivery mechanism of national essential medicines were summarized. Conclusion: The procurement and delivery of national essential drugs in the sample area has achieved remarkable results, but many problems still exist. It is recommended that the government should increase the support for the production and supply of special drugs, further improve the bidding and purchasing methods for essential drugs, ensure the quality and stable supply of essential drugs, and appropriately relax the scope of drug use when emergency emergencies and patients refer to the higher-level hospitals for referral.