王晨光 刘晓亮 赵华平 曹国颖

[摘要] 北京医院（以下简称“我院”）制剂历史悠久，人员资源配备合理，管理系统科学快捷。始终严格执行“医疗机构制剂管理规范”进行生产、检验、储备和发放，配制品种与医疗特色一致，北京地区知名度高。不足之处是现在硬件条件限制了扩大生产，不能满足临床需求；新制剂开发技术力量弱；长期以来定价太低，亏损严重；利用SWOT法对我院制剂的发展趋势进行分析，结合医院制剂现状和新医改形势，明确发展策略，增加研发投入，扩大生产，对现存制剂优胜劣汰，加强人才引进，开发新品种新剂型，更好地适应学科发展和临床需要。

[关键词] SWOT分析法；医院制剂；制剂室；发展策略

[中图分类号] R944 [文献标识码] A [文章编号] 1673-7210（2018）05（c）-0158-04

Exploration of development strategy of hospital preparations in hospital based on SWOT analysis

WANG Chenguang LIU Xiaoliang ZHAO Huaping CAO Guoying▲

National Center of Gerontology， Beijing Hospital， Beijing 100730， China

[Abstract] Beijing Hospital （“our hospital” for short） preparations has a long history. Our staff and resources are well-configured and the management system is scientific and efficient. We have always strictly implemented the GPP for production， testing， storage and distribution. The preparation varieties are consistent with the medical characteristics of our hospital and it is well known in Beijing. The downside is that the hardware conditions limit the expansion of production， so it can not suit the clinical needs. And we are week in the new formulation development technology. For a long time the pricing is too low， so we suffered heavy losses. Using SWOT method to analyze the development trend of the preparation in our hospital， combined with current situation of hospital preparations and the new healthcare reform to explore the development strategy of hospital preparations， increase R&D; investment， expand production， strengthen the introduction of qualified personnel， develop new varieties to better adapt to academic development and clinical needs.

[Key words] SWOT analysis； Hospital preparations； Drug Manufacturing Room； Development strategy

医院制剂是医疗机构根据本单位临床需要经批准配制、仅供院内使用的固定处方制剂[1]，是临床用药的重要补充。制药工业的发展使得医院制剂的作用逐步减弱，但制药工业的市场化供应并不能完全满足患者的个体化需要，而且医院制剂普遍价格低廉，弥补了市场供应的不足。但是药品管理法规要求的提升以及近期实施的药品零差率政策，使医院制剂面临着前所未有的挑战和机遇。SWOT（strengths weaknesses opportunities threats）分析法是一种态势分析，通过列举出内部优势（strengths，S）、劣势（weaknesses，W）、外部机会（opportunities，O）、威胁（threats，T），用系统分析方法使各因素相互匹配分析得出具有一定决策性的结论[2]。因此通过SWOT分析法，抓住机遇，规避风险，制定医院制剂未来的发展策略。

1 优势分析