"The study of the drug distribution system in China under the ""two-receipt"" drug purchasing policy: A case of Fujian and Shaanxi Province" / 中国卫生政策研究

In the progress of the new healthcare reform, China has carried out a series of reform exploration in the drug distribution system.But fluctuating markups of drugs are still the main cause of high drug price.In order to simplify the distribution procedure, the National Health and Family Planning Commission proposed to encourage the implementation of two-receipt system nationwide.As the important part of the price system of drug circulation, drug distribution system made a great impact on the implementation of two-receipt system policy.Focusing on two provinces namely Fujian and Shaanxi provinces, this paper will discuss the typical drug distribution system in china.This paper has evaluated the main body and operation pattern in the implementation of two-receipt system, and by analyzing the benefits and drawbacks, in the same provinces.It has put forward the optimized distribution mode and provided policy suggestions for strengthening the two-receipt distribution system.

The effect of a unit dose drug distribution system on drug administration errors in Sisaket Hospital.

The object of this study was to compare the drug administration errors on a ward using unit dose drug administration with a control ward using the traditional drug distribution system. Data were collected both before and after using the unit dose drug distribution system between February and May 1994. Single blind study was used in the data collection and data were collected by observation using a proven form and inappropriate work systems on the wards. The study showed that on using the unit dose drug distribution system on the experimental ward for eight weeks, drug administration errors were significantly decreased; average drug administration errors which had been 28.20% when using the traditional drug distribution system fell to 6.88% when using the unit dose drug distribution system. The three leading types of drug administration errors were omission error, wrong dose error and unauthorized drug error. N the unit dose drug distribution system these error rate were 5.74%, 1.00% and 0.14% respectively whereas rates in the traditional drug distribution system were 16.00%, 5.68% and 6.31% respectively. The major causes of drug administration errors in the two drug distribution systems were personnel errors, unskilled staff and inappropriate work systems on the wards.