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目的:探索我院实施基本药物制度的措施和难点,为医院更好的实施基本药物制度提供依据。方法:通过查阅国家关于实施基本药物制度的相关政策和具体实施办法,结合我省及郑州市在实施基本药物制度过程中存在的问题进行分析。结果:我院在执行基本药物制度过程中面临的主要问题是财政投入不足,导致基本药物实施力缺失;我院是一所三级专科(口腔、眼科)医院,《国家基本药物目录·基层医疗卫生机构配备使用部分》(2009版)中适合我院用药的药物很少,难以满足我院的用药需求,很难达到河南省规定的基本药物用药金额比例。结论:政府应逐步加大财政投入,在今后修订《国家基本药物目录》时,应考虑适度添加能满足专科医院临床需要的药物品种。
Objectives: To explore the measures and difficulties in implementing the basic drug system in our hospital and provide the basis for the hospital to better implement the basic drug system. Methods: By referring to the relevant policies and implementing measures of the State on the implementation of essential medicines system and combining the problems existing in the implementation of essential medicines system in our province and Zhengzhou City, we analyzed the existing problems. Results: The main problem that our hospital faced in implementing the basic drug system was the lack of financial input, which led to the lack of implementation of essential medicines. Our hospital is a three-level specialist (oral cavity and ophthalmology) hospital. The Catalog of National Essential Medicines, Health institutions with the use of part of “(2009 version) for our hospital medication is very small, difficult to meet the medication needs of our hospital, it is difficult to reach the proportion of the amount of essential drugs prescribed in Henan Province. Conclusion: The government should gradually increase financial input. In the future revision of the ”National Essential Drug List," we should consider appropriate addition of drug varieties that meet the clinical needs of specialty hospitals.