首页|2019-2022年我国国家医保谈判慢性气道疾病吸入制剂可及性及利用情况分析

2019-2022年我国国家医保谈判慢性气道疾病吸入制剂可及性及利用情况分析

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目的:了解全国范围内国家医保谈判(以下简称"国谈")慢性气道疾病吸入制剂的可及性和临床利用情况,为评价国谈政策的实施效果提供数据参考。方法:运用描述性统计分析方法,对我国31个省级行政区的895家二、三级公立综合医院2019-2022年国谈慢性气道疾病吸入制剂的可获得率、用药频度(DDDs)及限定日费用(DDDc)进行分析。结果:各调研药品在进入协议期的首个年度内可获得率增长显著,且2019-2022年的可获得率整体呈增长趋势。自2021年开始,布地格福吸入气雾剂用量排名首位且2022年用量进一步增加并远超其他药品。各药品进入国谈协议期首个年度DDDc显著降低,降价幅度为61。66%~74。02%。结论:国谈政策实施后慢性气道疾病吸入制剂的可获得率和药品用量显著提升,DDDc显著降低,调研药品的可及性明显提高。
Analysis of accessibility and utilization of national negotiation inhaled drugs for chronic airway diseases in China from 2019 to 2022
OBJECTIVE To grasp the current status of accessibility and clinical use of national negotiation inhalants for chronic airway diseases in China and provide data support for evaluating the implementation effect of national negotiation policy.METHODS Descriptive statistical analysis was utilized for analyzing availability,defined daily doses(DDDs)and defined daily dose cost(DDDc)of national negotiation inhalants for chronic airway diseases in China from 2019 to 2022.The research institu-tions involved 895 secondary and tertiary public general hospitals from 31 provincial administrative regions in China.RESULTS T he availability rate of each investigational drug spiked markedly within the first year of entering the agreement period.And the availability rate of all investigational drugs demonstrated an overall rising trend from 2019 to 2022.As of 2021,the doses of budesonide glycopyrronium bromide and formoterol fumarate inhalation aerosol ranked the first and further rose in 2022,far exceeding other drugs.DDDc of each drug decreased significantly in the first year of agreement period with a declining rate of 61.66%-74.02%.CONCLUSION After the implementation of national medical insurance negotiation policy,availability rate and drug dosage of inhalants for chronic airway diseases have spiked markedly with a substantial decline of DDDc and a greater accessibility of investigated drugs.

national medical insurance negotiationchronic airway diseaseaccessibilitydefined daily dosesdefined daily dose cost

李伟、余舒乐、陈红斗、陆伟、王梦雷、吴欢欢、王旭、尤正仪

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徐州医科大学附属宿迁医院/南京鼓楼医院集团宿迁医院药学部,江苏宿迁 223800

国家医保谈判 慢性气道疾病 可及性 用药频度 限定日费用

宿迁市科技局市级指导性科技项目宿迁市科技局市级指导性科技项目江苏省新药研究与临床药学重点实验室项目

Z2021113Z2021114KFKT-2105

2024

中国医院药学杂志
中国药学会

中国医院药学杂志

CSTPCD北大核心
影响因子:1.198
ISSN:1001-5213
年,卷(期):2024.44(9)
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