上海市药品价格水平实证研究

1,1,MargaretEwen2,AlexandraCameron3,RichardLaing3(1.,200032;2.,;3.,)(WHO)(HAI)[1],,41,,;;;R954A10072953X(2008)0520238203Anevidence2basestudyondrugpriceinShanghaiYELu1,HUShan2lian1,MargaretEwen2,AlexandraCa2meron3,RichardLaing3(1.SchoolofPublicHealth,FudanUniversity,Shanghai200032,China;2.WHOHealthActionInternational,Rotterdam,Netherlands;3.WorldHealthOrganization,Geneva,Switzerland)AbstractThestudydesignedthestandardmethodologywhichwasdevelopedbyWHO,HAI,datawascol2lectedfromatotalof30publicsectorfacilitiesand20privitepharmacicsinShanghaifourdistricts,thatisXuhui,Zhabei,Putuo,andHuangpu.Thestudycomparedthepricemedicinesinhealthfacilitiesandretailpharmacies.Thepricespayforinnovatorbrandsandgenericequiv.Aswellasthesepricedifferbetweenthepublicsectorandprivitewereaskedinthestudy.Thelocalpricecomparedwithinternationalreferencepricesfinally.KeywordsDrugprice;Innovatorbrands;Genericequivalent;Medianpriceratio11.1WHO/HAI,,5,,15,50,5520201.241,:(1)();(2)2008203203;2008205210(19632),,,,,,1.31.3.1(InternationalReferencePrice,IRP)(ManagemrntSciencesforHealth,MSH)2005MSHMSH1.3.2(medianpriceratio,MPR)(MPR),,,2005:MPR=;[5],,[1].[J].,2007,2(1):18219.[2],.[J].,2006,4(9):68270.[3].[J].,2006,5(4):2372243.[4].:[J].,2007,30(10):8022804.[5].[J].,2007,5(10):8472848.832ChineseHealthResources,September2008,Vol11,No.5MPR1,(),1MPR1,()MPR1.522.12.1.1,,,,,41,1425()145.48,1.778.75;251.521,,,1/4,0.97,50%0.973.19,25%3.19,5,MPR2.2,215.64,2.5810.85292.03,1.204.19,5,,10,4(1),,,,,15,,4,42.341,2432()244.72,1.929.16;321.26,1/4,0.69,50%0.692.97,25%2.97,4,MPR1MPR(50%)Q25Q75MPR1.5IB9.839.839.83LPG0.880.700.88IB69.4569.4569.45LPG28.9428.9429.04IB11.8511.8511.85LPG2.312.312.31IB26.4626.4627.39LPG6.286.287.70IB2.722.722.77LPG1.731.731.79:IB();LPG()2.441,17,20178.76,2.7519.53;20,1.77,1.274.45,(),4.5,2(2),,68,29MPR,2(25%)(75%)MPRMPR1.5IB9.879.879.87LPG4.292.614.55IB68.4263.0069.45LPG28.9428.9428.94IB26.4625.2926.46LPG5.835.187.70IB2.752.722.82LPG1.430.861.59:IB;LPG932200891152.5,1619:16,19,4%,,2.6,30%,31.4%233.8%,200629.03%(2006),15%(:)2.7,50%,52.54%54.76%5.5%,9%11%33.12000,,4,80%41,14254145.48,,,,251/43,,1/4,,34%,31%20066:15%,30%33%,20069,,2007215%,,3.2,2,10,4,,,,,,,,,,,,,,,,,,[1]WorldHealthOrganizationandHealthActionInternational.Medi2cineprices:anewapproachtomeasurement.Workingdraftforfieldtestingandrevision[R].Ceneva:WHO,2003:75279.042ChineseHealthResources,September2008,Vol11,No.5