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目的了解我国现阶段基层医疗卫生机构的基本药物增补情况。方法查找我国各省级政府部门发布的基层医疗卫生机构增补药物目录。采用描述性分析方法比较增补药物目录在药物分类、药品名称、药物数量等方面的异同。结果共纳入13个省(地区)的增补药物目录,增补药物数目多于200个的省份有江苏、广东、内蒙古和山东。各省增补药物种类均包括化学药物与中成药,以及国家基本药物目录中9个类别的药物,有17个药物的重合频次高于10。有多个省份增补了儿科专用药物和肿瘤用药。结论目前《国家基本药物目录(基层医疗卫生机构配备使用部分)》(2009年版)尚不能满足基层医疗服务的需要。国家基本药物遴选和修订宜借鉴和反映各地防治需求的增补药物目录。
Objective To understand the basic medical supplements of primary health care institutions in our country at this stage. Methods to find the provincial government departments issued by the primary health care institutions to add drugs directory. Descriptive analysis was used to compare the similarities and differences between the categories of supplements, the names of medicines, the amount of medicines and so on. Results A total of 13 provinces (regions) added to the list of drugs, supplements more than 200 provinces of Jiangsu, Guangdong, Inner Mongolia and Shandong. Supplementary drug categories in all provinces include 9 categories of drugs in chemical medicine and proprietary Chinese medicine, as well as in the National Essential Drug List, and 17 drugs overlap more than 10 times. There are several provinces to add pediatric drugs and oncology drugs. Conclusion At present, the “Catalog of National Essential Medicines (Provision of Use of Primary Health Care Institutions)” (2009 Edition) still can not meet the needs of primary medical services. The selection and revision of national essential medicines should draw on and supplement the list of supplements for prevention and control needs in various places.