目的:评价基本药物制度实施之后乡镇卫生院的基本药物可获得性情况。方法:运用熵权灰色关联法对山东省11个县(区)的基本药物可获得性进行综合评价,同时结合重要性推导模型,对各县(区)基本药物的可获得性与需求情况进行分析。结果:基本药物制度实施之后,乡镇卫生院药品配送及时性较差,基本药物使用情况不容乐观,仍有部分地区存在资源浪费与资源严重不足的现象。结论:政府支持对于基本药物政策的实施起到重要的作用,资源配置不合理将形成新一轮的“看病难”现象,因此,为进一步规范乡镇卫生院基本药物可获得性,各相关部门应积极采取措施完善基本药物招标采购机制,加强监管与检查的力度,完善考核机制,保证基本药物制度在乡镇卫生院的顺利实施。
Objective: To evaluate the availability of essential medicine in township hospitals after the implementation of essential medicine system. Methods: Entropy Method and Grey Correlation Method were used to evaluate the availability of essential medicine in 11 counties of Shandong. Combining with important quadrant model, the availability and demand of essential medicine in different counties were analyzed. Results: After the implementation of essential medicine system, problems have occurred in the drug deliverytimeliness and the use of essential medicine. Resource wastes and insufficient still existed in some areas. Conclusion: Government support act the key in the implementation of essential medicine policy. The unreasonable resource allocation will lead the new difficulty of getting medical service. Therefore, to standarize the availability of essential medicine, the relevant departments should actively take measurements to perfect the the bidding and procurement mechanism of essential medicine, enhance the supervision and examine, implement the assessment machnism and ensure the successful implementation of essential medicine system in county-level health cares.