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建立国家基本药物制度作为新医改五项重点任务之一,当前全国正大力推行。作为基层药品监管部门,为确保基本药物终端药品质量安全、可控,有必要对辖区基层医疗机构基本药物使用情况进行了解,以期为加强基本药物质量监管提供基础数据。本文作者选取静安区和金山区两个区为调研对象,从基本药物覆盖率、采购比率、厂家分布集中度和目录内药品品种分布情况等几方面探讨,试图找出基本药物的使用现状和存在问题,并最终提出加快推进基本药物制度的建议,最终为国家基本药物制度的执行提供参考依据。
The establishment of a national essential drug system as one of the five key tasks for the new medical reform is currently being vigorously pursued across the country. As a grassroots drug regulatory department, in order to ensure the quality, safety and controllability of essential drugs, it is necessary to understand the use of essential drugs in primary medical institutions in order to provide basic data for strengthening the supervision of essential drugs. The author selected two districts of Jing’an District and Jinshan District as the research objects, and explored the usage status and existence of essential drugs from the aspects of the coverage rate of basic drugs, the procurement ratio, the concentration distribution of manufacturers and the distribution of varieties of drugs in the catalog Problems, and finally put forward suggestions on accelerating the system of essential medicines, and ultimately provide reference for the implementation of the national basic drug system.