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目的通过对我国乡(镇)卫生院、村医疗机构、乡镇零售药店药品供应状况的调查,了解农村基层药品采购、保管、使用、销售管理状况,并提出对策建议。方法实地访问调查研究方法,根据经济、交通、民族等因素选择了海南、河南、安徽、四川四省20个乡镇卫生院、84家村卫生室、26家零售药店进行调查。结果(1)农村基层药品供应主体是乡(镇)卫生院和村卫生室、个体诊所;(2)农村药品供应机构药学人员缺乏,素质较低;(3)农村基层药品货源渠道较混乱;(4)乡镇零售药店数量少,规模偏小,但发展潜力巨大。结论(1)制定农村基本药物目录;(2)鼓励合法的药品批发公司打开农村供应渠道;(3)促进乡镇零售药店建设发展;(4)加强农村药品监督管理。
Objective To investigate the state of drug supply in township (town) hospitals, village medical institutions and township retail pharmacies to understand the status of procurement, storage, use and sales management of rural grassroots medicines and put forward countermeasures and suggestions. Methods A field visit survey was conducted to investigate 20 township hospitals, 84 village clinics and 26 retail pharmacies in Hainan, Henan, Anhui and Sichuan provinces according to economic, traffic and national factors. Results (1) The primary supply of rural grassroots drugs is township (town) hospitals and village clinics and individual clinics; (2) lack of pharmacists in rural drug supply agencies and low quality; (3) chaotic supply channels of primary grassroots drugs in rural areas; (4) The number of township retail pharmacies is small and the scale is small, but the development potential is huge. Conclusions (1) Make a list of essential medicines in rural areas; (2) Encourage legitimate wholesale drug companies to open rural supply channels; (3) Promote the development of township retail pharmacies; (4) Strengthen rural drug supervision and management.