寧夏基本藥物可及度指標性評價研究
發(fā)布時間：2019-01-04 22:53
【摘要】：研究目標： 本研究以基本藥物政策為基礎，選擇代表性指標建立基本藥物可及度評價指標體系，為基本藥物可及度的評價提供一套量化考評依據，并選擇寧夏地區(qū)的樣本醫(yī)院對該指標體系進行實證，探討寧夏基本藥物政策在實施過程中存在的問題，為基本藥物制度更好的發(fā)展提供有益的參考。 研究內容： 1.寧夏基本藥物可及度評價指標的選擇及體系建立； 2.評價指標體系的權重計算； 3.寧夏基本藥物可及度評價指標體系實證； 4.探討寧夏基本藥物政策實施過程中存在的問題，提出建議。 研究方法： 本研究主要運用文獻復習法和德爾菲法建立寧夏基本藥物可及度評價指標體系，運用層次分析法計算各級指標權重并進行量化，最后運用問卷調查法對該指標體系進行實證。 研究結果： 1.專家咨詢結果 1.1專家權威系數 地理、經濟和技術三個一級指標的權威系數分別為0.78、0.76和0.76，，平均值為0.77，權威系數較高。 1.2專家協調系數 經過兩輪專家咨詢后，整個指標體系的協調系數分別為0.40，地理、經濟和技術指標的協調系數分別為0.43、0.33和0.45，卡方檢驗結果均為P＜0.05，專家意見協調程度較高。 1.3指標權重與百分制分值 一級指標地理、經濟和技術權重系數分別為0.14、0.28和0.58。根據三級指標的組合權重系數，賦予三級指標分值，總分為100分。 2.樣本實證 通過樣本實證，計算4個樣本縣的百分值，結果顯示總體上得分最高的為賀蘭縣，92.03分；得分最低為同心縣，86.44分。各縣總體得分和排序與實際情況較為一致，4個縣的得分都超過了80.00分，說明4個縣的基本藥物可及性程度都很高，居民在基本藥物的可及性上不存在問題。 建議： 1.醫(yī)療機構不常用的藥品 “磷霉素鈉粉針”、“鹽酸普魯卡因注射液”、“氟哌啶醇注射液”等，建議衛(wèi)生行政部門可以將這些藥品移除或替換。 2.經常缺貨的藥品 “阿莫西林膠囊”、“三七膠囊”、“尼莫地平片”等，建議藥廠能夠多生產這些藥品來保證供應，衛(wèi)生行政部門也要給予監(jiān)督。 3.建議增補的藥品 建議將“健胃消食片”、“小兒健胃消食片”、“大山楂丸”等20種藥品增補到寧夏基本藥物目錄中。
[Abstract]:Objective: based on the basic drug policy, this study selected representative indicators to establish the evaluation index system of essential drug accessibility, and provided a set of quantitative evaluation basis for the evaluation of essential drug accessibility. The sample hospitals in Ningxia are selected to demonstrate the index system to discuss the problems existing in the implementation of the essential drug policy in Ningxia and to provide a useful reference for the better development of the essential drug system. Research content: 1. Selection and Establishment of Evaluation Index of essential Drug accessibility in Ningxia; 2. Weight calculation of evaluation index system; 3. Ningxia essential drug accessibility evaluation index system empirical; 4. This paper discusses the problems existing in the implementation of essential drug policy in Ningxia and puts forward some suggestions. Methods: this study mainly used literature review method and Delphi method to establish Ningxia essential drug accessibility evaluation index system. AHP was used to calculate and quantify the index weights at all levels. Finally, the questionnaire survey method is used to carry on the demonstration to this index system. Results: 1. Results of expert consultation 1.1 the authoritative coefficients of the three primary indexes of geography, economy and technology are 0.780.76 and 0.76, respectively. The average value is 0.77, and the authority coefficient is higher. 1.2 after two rounds of expert consultation, the coordination coefficient of the whole index system is 0.40, and the coordination coefficient of geographical, economic and technical indicators is 0.430.33 and 0.45, respectively. The results of chi-square test were all P < 0.05, and the degree of coordination of expert opinions was higher. 1.3 the geographical, economic and technical weight coefficients of the first grade index are 0.140.28 and 0.58 respectively. According to the combined weight coefficient of the three-level index, give the third-level index score, the total score is 100. 2. The results show that the highest score is Helan County with 92.03 points, and the lowest score is Tongxin County with 86.44 points. The total score and ranking of the four counties were consistent with the actual situation, and the scores of the four counties exceeded 80.00points, which indicated that the accessibility of essential drugs was very high in the four counties, and there was no problem in the accessibility of essential drugs in the residents. Recommendations: 1. The less commonly used drugs in medical institutions, such as "fosfomycin sodium powder", "procaine hydrochloride injection", "haloperidol injection", etc., suggest that the health administration department may remove or replace these drugs. 2. "Amoxicillin capsule", "Panax notoginseng capsule", "nimodipine tablet" and so on are often out of stock. It is suggested that the pharmaceutical factory should produce more of these drugs to ensure their supply, and the health administration department should also supervise them. 3. It is suggested that 20 kinds of drugs, such as "Jianwei Xiaoshi tablet", "Children Jianwei Xiaoshi tablet" and "Dashanhaw Pill", should be added to Ningxia essential drugs catalogue.
【學位授予單位】：寧夏醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R95
本文編號：2400902
[Abstract]:Objective: based on the basic drug policy, this study selected representative indicators to establish the evaluation index system of essential drug accessibility, and provided a set of quantitative evaluation basis for the evaluation of essential drug accessibility. The sample hospitals in Ningxia are selected to demonstrate the index system to discuss the problems existing in the implementation of the essential drug policy in Ningxia and to provide a useful reference for the better development of the essential drug system. Research content: 1. Selection and Establishment of Evaluation Index of essential Drug accessibility in Ningxia; 2. Weight calculation of evaluation index system; 3. Ningxia essential drug accessibility evaluation index system empirical; 4. This paper discusses the problems existing in the implementation of essential drug policy in Ningxia and puts forward some suggestions. Methods: this study mainly used literature review method and Delphi method to establish Ningxia essential drug accessibility evaluation index system. AHP was used to calculate and quantify the index weights at all levels. Finally, the questionnaire survey method is used to carry on the demonstration to this index system. Results: 1. Results of expert consultation 1.1 the authoritative coefficients of the three primary indexes of geography, economy and technology are 0.780.76 and 0.76, respectively. The average value is 0.77, and the authority coefficient is higher. 1.2 after two rounds of expert consultation, the coordination coefficient of the whole index system is 0.40, and the coordination coefficient of geographical, economic and technical indicators is 0.430.33 and 0.45, respectively. The results of chi-square test were all P < 0.05, and the degree of coordination of expert opinions was higher. 1.3 the geographical, economic and technical weight coefficients of the first grade index are 0.140.28 and 0.58 respectively. According to the combined weight coefficient of the three-level index, give the third-level index score, the total score is 100. 2. The results show that the highest score is Helan County with 92.03 points, and the lowest score is Tongxin County with 86.44 points. The total score and ranking of the four counties were consistent with the actual situation, and the scores of the four counties exceeded 80.00points, which indicated that the accessibility of essential drugs was very high in the four counties, and there was no problem in the accessibility of essential drugs in the residents. Recommendations: 1. The less commonly used drugs in medical institutions, such as "fosfomycin sodium powder", "procaine hydrochloride injection", "haloperidol injection", etc., suggest that the health administration department may remove or replace these drugs. 2. "Amoxicillin capsule", "Panax notoginseng capsule", "nimodipine tablet" and so on are often out of stock. It is suggested that the pharmaceutical factory should produce more of these drugs to ensure their supply, and the health administration department should also supervise them. 3. It is suggested that 20 kinds of drugs, such as "Jianwei Xiaoshi tablet", "Children Jianwei Xiaoshi tablet" and "Dashanhaw Pill", should be added to Ningxia essential drugs catalogue.
【學位授予單位】：寧夏醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R95
【相似文獻】
相關碩士學位論文 前1條
1 虎翼;寧夏基本藥物可及度指標性評價研究[D];寧夏醫(yī)科大學;2014年
本文編號：2400902
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