Analysis and suggestions on the allocation and shortage of nervous system drugs in public medical institutions in China from 2017 to 2021
Objective To analyze the allocation and shortage of nervous system medications in public medical institutions in China from 2017 to 2021,and to propose suggestions for improving the supply and guarantee system for nervous system medications.Methods Data on the number of medication varieties,shortage reporting frequency,and categories of nervous system medications from 1036 second-and third-tier public medical institutions were extracted from the National Medical Information Network and statistically analyzed.Results Over the 5-year period,the number of nervous system medication varieties in 1036 public medical institutions ranged from 258 to 265,accounting for 11.3%to 11.5%of the total number of medication varieties,with a matching rate of over 90%between second-and third-tier public medical institutions.The average number of essential drugs was 58.2,accounting for 22.3%of the total number of essential drugs.The average number of national health insurance-covered medications was 167.4,accounting for 64.1%of nervous system drugs.On average,drug shortages were reported 6419 times per year,accounting for 12.1%of the total shortage reports.After 2018,the total number of reports showed a decreasing trend,with a 37.7%reduction in 2021 compared to 2018.Shortage occurred in all 19 subcategories,with 255 varieties in short supply.Among them,antiepileptic drugs,antipsychotic drugs,antidepressants drugs,anti-anxiety drugs,and anti-dementia drugs,the top five nervous system medications,were reported 3318,3042,2365,1256,and 385 times,respectively.Conclusion During the period from 2017 to 2021,there were shortages of nervous system drugs in public medical institutions nationwide.It is recommended that relevant health authorities establish a catalog of alternative drugs for neurological diseases and an emergency response mechanism to further strengthen the supply guarantee of nervous system drugs.
nervous system drugspublic medical institutionsallocation and usedrug shortages
NETL
NSTL
万方数据
