我国医药储备制度存在的问题浅析及政策建议.pdfVIP

我国医药储备制度存在的问题浅析及政策建议 1，2，3＊ 1，2# 2，3 余文心 ，史录文 ，王一涛 （1.北京大学药学院药事管理与临床药学系，北京市 100191；2.北京大学医药 管理国际研究中心，北京市 100191；3.澳门大学中华医药研究院，澳门特别行政区 999078） 中图分类号 R95；F763 文献标识码 C 文章编号 1001-0408（2011）09-0780-03 摘 要 目的：为我国医药储备制度改革和完善提供政策建议。方法：通过检索该领域国内、外文献，并对政府、企业及高校的专 家学者进行深度访谈，总结医药储备制度的问题并有针对性地提出建议。结果与结论：我国医药储备制度的问题主要表现在制度 设计（目录设计不完善，管理机制不合理，部门职能重叠或权责不清）和执行（体系中各主体信息沟通不畅，部分储备资金闲置，承 储企业未能有效覆行职责）2个层面。建议通过调整储备目录，建立应急药品调配中心、信息网络平台、救灾应急机制以及完善应 急资金准备制度等5大措施完善我国医药储备制度。 关键词 医药储备制度；应急管理；改革；完善 On the Problems of Current Medical Reserve System and Some Policy Proposal for System Reformation in China YU Wen-xin ，SHI Lu-wen（Dept. of Pharmaceutical Administration and Clinical Pharmacy ，Pharmacy College of Peking University ，Beijing 100191，China ） YU Wen-xin ，SHI Lu-wen ，WANG Yi-tao （International Research Center for Medicinal Administration ，Peking University ，Beijing 100191，China ） YU Wen-xin ，WANG Yi-tao （Institute of Chinese Medical Sciences ，Macau University ，Macau 999078，China ） ABSTRACT OBJECTIVE ：To put forward some policy proposal for medical reserve system reformation. METHODS ：Domestic and foreign relevant literatures were retrieved and in-depth interviews were conducted among authorities in the field of government ， enterprise and university. The problems of medical reserve system were summarized and relevant proposal was put forward. RE- SULTS CONCLUSIONS ：We reveal some problems of current medical reserve system that can be divided into two levels ：sys- tem design （incomplete list design ，unreasonable management system ，overlap of department function or unclear right and responsi- bility ）and system execution （poor communication of system subjects ，inactivity of reserve fund and enterprise failing to perform their duties ）. Several measures are suggested to improve current medical reserve system ，such as adjusting reserve list ，establishing