Study on the Impact of Drug Price Monitoring and Management Policy on Medical Institutions
Objective:To investigate the current situation of the medical institutions to implement the drug price monitoring and management,and to understand the awareness and attitude of medical staffs towards Red-Yellow-Green monitoring and other pharmaceutical price regulation measures,in order to provide reference for standardizing and improving drug price monitoring and management.Methods:A questionnaire survey was conducted in the sample medical institutions,and semi-structured interviews were conducted with relevant personnel.On the basis of descriptive statistical analysis,inferential statistical analysis was conducted on the implementation differences of medical institutions at different levels.Results:A total of 370 valid questionnaires were collected from 25 medical institutions.Among which,76.8％of the respondents believed that the current drug prices showed a stable to declining trend,and the perception of the price reduction rate of tertiary medical institutions was greater than that of secondary medical institutions(P=0.034)and sub-secondary medical institutions(P=0.005).Medical staff generally believed that the drug price regulation policy had a certain impact on their prescription behavior,mainly affecting the proportion of drug proportion(n=323,87.3％),centralized procurement(n=294,79.5％)and basic drugs(n=294,79.5％).Clinical effect(n=178,48.1％)and drug price(n=147,39.7％)were the priority factors for medical staff to prescribe.The interviews showed that the drug management personnel of medical institutions did not have a proper understanding of the Red-Yellow-Green price monitoring policy,and some medical institutions had not established a complete and transparent internal management system.Conclusion:The drug price control policy has been effectively implemented,maintaining reasonable prices in the drug market and promoting rational drug use in medical institutions.However,the complexity of different drug regulatory policies has a certain limiting effect on doctors'prescribing behavior.It is suggested that different policies should be well coordinated and refined,medical institutions should establish a transparent price monitoring system,and strengthen the training of medical staff.
drug price monitoringquestionnaire surveymedical institutionRed-Yellow-Green price monitoring policyprescribing behavior
万方数据
维普
