Page 33 - 《中国药房》2022年7期

山东省不同经济发展水平地区抗精神病药配备情况分析

马文雯 1，2＊ ，阴 佳 1，2 # ，孙 强 [1.山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心，济南
1，2
250012；2.国家卫生健康委员会卫生经济与政策研究重点实验室（山东大学），济南 250012]

中图分类号 R95 文献标志码 A 文章编号 1001-0408（2022）07-0795-05
DOI 10.6039/j.issn.1001-0408.2022.07.05

摘 要 目的 了解山东省不同经济发展水平地区抗精神病药的配备情况，为加强抗精神病药配备管理及提高区域间配备均衡性
提供参考。方法 通过山东省医疗机构药品集中招标采购信息平台收集2016－2019年山东省二、三级公立医疗机构的抗精神病药
采购信息，分析山东省不同经济发展水平地区抗精神病药的平均采购品种数、配备比例及每万人采购费用。结果 2016－2019年，
山东省二、三级公立医疗机构采购的抗精神病药共有18种（第一、二代抗精神病药各9种），平均采购品种数为3.50～4.42种，其中
欠发达地区的平均采购品种数（3.59～4.48种）总体略高于较发达地区（3.41～4.36种）。这4年间，抗精神病药的平均配备比例为
17.19％，且大部分抗精神病药的配备比例呈波动性增长（年均增幅为4.64％～38.34％），且较发达地区第二代抗精神病药的配备
比例总体高于欠发达地区；每万人采购费用呈波动性上升，增长范围为2.45～7 440.20元。在2016－2019年采购的18种抗精神病
药中，分别有61.11％、61.11％、83.33％、72.22％的药物在较发达地区的每万人采购费用高于欠发达地区，且抗精神病基本药物的
每万人采购费用总计数额（11 382.99～39 650.90元）也高于欠发达地区（8 353.15～30 561.77元）。结论 山东省抗精神病药的配备
比例总体较低，较发达地区第二代抗精神病药配备比例高于欠发达地区。
关键词 抗精神病药；山东省；公立医疗机构；药品配备；较发达地区；欠发达地区；基本药物

Analysis of allocation of antipsychotics in regions with different economic levels in Shandong province
MA Wenwen ，YIN Jia ，SUN Qiang [1. Centre for Health Management and Policy Research，School of
1，2
1，2
1，2
Public Health，Cheeloo College of Medicine，Shandong University，Jinan 250012，China；2. NHC Key Lab of
Health Economics and Policy Research（Shandong University），Jinan 250012，China]

ABSTRACT OBJECTIVE To investigate the allocation of antipsychotics in regions with different economic levels in Shandong
province，and to provide reference for strengthening the management of antipsychotics allocation and promoting the balance of
regional allocation. METHODS The procurement information of the secondary and tertiary public medical institutions in Shandong
province from 2016 to 2019 was collected from the Drug Centralized Bidding and Procurement Information Platform of Shandong
Provincial Medical Institutions. The procurement varieties of antipsychotics，allocation proportion and procurement cost per 10 000
people were analyzed in area with different economic levels in Shandong province. RESULTS From 2016 to 2019，there were 18
kinds of antipsychotics purchased by secondary and tertiary public medical institutions in Shandong province（9 kinds of first- and
second-generation antipsychotics respectively），and the average number of purchased varieties were 3.50-4.42. The average number
of purchased varieties in undeveloped areas（3.59-4.48 kinds）were slightly higher than that in developed areas（3.41-4.36 kinds）.
In these four years，average allocation proportion of antipsychotics was 17.19％，and most of them showed a fluctuating increase
（the average annual increase ranged 4.64％-38.34％）. The allocation proportion of second-generation antipsychotics was higher in
developed areas than that in undeveloped areas. The purchasing cost per 10 000 people showed an upward trend of fluctuation，
ranging from 2.45 to 7 440.20 yuan. Among the 18 antipsychotics procured from 2016 to 2019，61.11％，61.11％，83.33％ and
72.22％ of them were procured by developed areas with higher procurement costs per 10 000 people than by undeveloped areas.
The total procurement cost of essential medicine per 10，000 people in developed areas（11 382.99-39 650.90 yuan）was also higher
than that in undeveloped areas（8 353.15-30 561.77 yuan）. CONCLUSIONS The allocation proportion of antipsychotics is low in
Shandong province，and the allocation proportion of second-generation antipsychotics in developed areas are higher than that in
undeveloped areas.
＊硕士研究生。研究方向：药物政策。E-mail：mww1025@163.
KEYWORDS antipsychotics； Shandong province； public
com
medical institutions；allocation； developed areas；undeveloped
# 副教授，硕士生导师，博士。研究方向：医药政策。E-mail：yin-
jia@sdu.edu.cn areas；essential medicine

中国药房 2022年第33卷第7期 China Pharmacy 2022 Vol. 33 No. 7 ·795 ·