Cause analysis and prevention of drug shortage in medical institutions
10.3969/j.issn.1006-0111.2015.02.024
- VernacularTitle:医疗机构药品短缺原因分析与防范
- Author:
Peifang LI
1
;
Yan FANG
;
Shantang ZHANG
;
Baozhu ZHOU
Author Information
1. 安徽省立医院药剂科
- Keywords:
medical institutions;
drug shortage;
drug price
- From:
Journal of Pharmaceutical Practice
2015;(2):179-182
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the reason of drug shortages in medical institutions and take corresponding prevention measures to ensure drug supply .Methods The drug outbound orders in 2012 were retrospectively analyzed to trace the pro‐curement plan of badly‐needed drugs and the delivery time of supplier .Excel was used to carry out classification and statistics for the information of drug shortages combined with the explanations that the supplier failed to supply to summarize the exter‐nal cause and internal cause of drug shortages in medical institutions .Results In 2012 ,the dispensing department received a to‐tal of 46862 plans ,and 1423 items were badly‐needed drugs .The drug shortage rate was 3 .0% .643 times of drug shortages were caused by external causes which accountedfor 45 .2% of all the shortages ;780 times of the drug shortages were caused by internal causes which accounted for 54 .8% .Price inversion accounted for 40 .7% in the external causes that lead to the drug shortages ,and it was the top of the external causes for drug shortages .The low‐priced small varieties and generic drugs ac‐counted for 71 .2% of drug shortages caused by external causes;in the internal causes of drug shortages ,the inventory control accounted for 45 .0% ,ranked the first .Conclusion The scientific and reasonable drug price ,the improvement of bidding poli‐cy ,the joint effort of all parties of drug supply chain ,and the enhancement of the early warning and management of the badly‐needed drugs can reduce drug shortage .
