文档介绍：宁波市国家基本药物制度试点实施情况及对策分析浙江大学药学院药学硕士研究生指导老师陈坚陈枢青夏时畅中文摘要本研究通过宁波市国家基本药物试点地区的基层医疗卫生机构、配送企业、药品零售企业、药物检验所实地调研,对医务人员,药品经营人员和基层患者访谈对话和问卷调查,发现了试点实施过程中在国家基本药物认知、配备使用,配送供应、配套政策和药品质量等方面存在的问题,提出了推广国家基本药物制度的对策意见。研究综合运用文献对比、定性访谈、定量分析、实证调研等方法,总结了我国基本药物制度的现状,借鉴国际上国家基本药物制度实施的成功经验,在对比分析的基础上,为国家基本药物制度的下一步实施提供理论和实证依据。研究发现,宁波市试点实施国家基本药物制度取得了显著成效:,基层医疗卫生机构收支结构发生重大改变,“以药养医”局面得到了实质性改变,公益机制初步建立;,价格显著下降;,医药流通集中度提升;;。同时,宁波市试点实施国家基本药物制度的持续深入,一些矛盾也逐渐凸现出来,主要表现在:;;;;;。针对宁波市试点实施国家基本药物制度中出现的问题,本文提出的对策是: ;;;;;;;。关键词:国家基本药物制度;实施:现状;调查;对策 Ningbo pilotimplementation ofNational Essential Pharmacy Postgraduate Supervisor MedicineSystem and countermeasures College ofPharmaceutical SciencesZhej iang University JianChen Shuqing Chen Shichang Xia Abstract This study used a fieldresearch of basic medical and drug retailers on theessentialmedicines ofNingbo interviewed medical managers and primary patientsand made a inimplementation oftheNationalEssential Medicine System inNingbo focus ontheawareness ofessentialmedicine,with the use, distribution,supply,and thesupporting policy and other aspects ofdrug quality,we proposed countermeasures tO implementation ofthe National Essential Medicine System. The research bination methods parison,qualitative interviews,quantitative analysis,empirical research method tosummary the status of theNational Essential Medicine todraw on essfulexperience of theimplementation oftheEssentialMedicine Policy in other countries tOsupply theory andempirical basisforfurtherimplementation of National EssentialMedicineSystem based on theanalysis in contrast toeachother. The implementation oftheNationalEssential