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目的:评价我国抗结核药品供应系统的绩效。方法:河南省和山东省各随机抽取4个地市和20个县,用13个量化指标通过现场问卷调查获得数据。结果:目前使用的6种抗结核药品均属于国家基本药物,有3种属于世界卫生组织基本药物;各个项目最近3次供货每个批号的药品都有质量检验报告,过去1年药品质量检验不合格率为0%,各项目药品招标采购的价格均低于国际价格;一些机构存在药品缺货、过期和账物相符率低的情况,药品库存控制不合理;一些机构未严格执行标准短程化疗方案;县级药品的信息报告准确率比较低。结论:我国建立了严格的药品质量控制体系,但复治涂阳患者药品的库存控制方法需要进一步研究,且应强化药品管理人员的能力,提高药品信息报告的准确性。
Objective: To evaluate the performance of anti-TB drug supply system in our country. Methods: Henan Province and Shandong Province randomly selected 4 prefectures and 20 counties, and obtained the data through 13 questionnaires. Results: The 6 kinds of anti-tuberculosis drugs currently used belong to the national essential medicines and 3 belong to the basic medicines of the WHO. Each item has been supplied for the last 3 times. The quality inspection report of each batch of medicines, the quality inspection of medicines in the past year The unqualified rate is 0%, the price of bidding for each item of medicine is lower than the international price; some institutions have the situation of out of stock, overdue and low conformity of account, and the control of drug stock is not reasonable; some institutions do not strictly implement standard short range Chemotherapy program; county-level drug information reporting accuracy is relatively low. Conclusion: China has established a strict drug quality control system. However, the inventory control methods of drugs for retreatment of smear-positive patients need further study. The ability of drug managers should be strengthened to improve the accuracy of drug information reporting.