农村基层药品供应管理状况调查及对策探讨

摘要

Aim To realize the present situation of drug purchase, supply, and use in the health service organizations and drug distributors in rural areas, and to put forward some suggestions. Methods An interview survey was conducted in 20 township hospitals, 26 countryside drugstores, and 84 village dispensaries in Hainan, Anhui, Henan, and Sichuan Provinces. Results (1) The main drug supplying organizations in the countryside are township hospitals and village dispensaries. (2) The personnel in the drug supplying organizations are rather inadequately educated. (3) The drug resources in the grass-roots countryside are complex and disordered. (4) Most of the countryside retail drugstores are small, and the number of drugstores is small, but their development potential is great. Conclusion (1) A basic drug catalogue for rural areas should be made up. (2) Legitimate drug wholesale companies should be encouraged to supply drugs for vast countryside. (3) Development of drug distributionstations in townships should be promoted. (4) The administration of drugs in the countryside should be strengthened.%目的通过对我国乡(镇)卫生院、村医疗机构、乡镇零售药店药品供应状况的调查,了解农村基层药品采购、保管、使用、销售管理状况,并提出对策建议.方法实地访问调查研究方法,根据经济、交通、民族等因素选择了海南、河南、安徽、四川四省20个乡镇卫生院、84家村卫生室、26家零售药店进行调查.结果 (1) 农村基层药品供应主体是乡(镇)卫生院和村卫生室、个体诊所;(2) 农村药品供应机构药学人员缺乏,素质较低;(3) 农村基层药品货源渠道较混乱;(4)乡镇零售药店数量少,规模偏小,但发展潜力巨大.结论 (1) 制定农村基本药物目录;(2) 鼓励合法的药品批发公司打开农村供应渠道;(3) 促进乡镇零售药店建设发展;(4) 加强农村药品监督管理.