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美国抗生素进口和供应链漏洞
Mariana P Socal1,2, Yunxiang Sun1, Jeromie M Ballreich1
1Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
JAMA health forum
|October 3, 2025
概括
美国的抗生素进口是各种各样的成品形式,但严重依赖中国的活性成分. 加强国内生产和多样化来源对于供应链的弹性和国家安全至关重要.
科学领域:
- 制药供应链分析 制药供应链分析
- 全球药品贸易的全球贸易
- 公共卫生政策 公共卫生政策
背景情况:
- 美国持续存在的抗生素短缺威胁到患者护理,公共卫生和国家安全.
- 了解全球抗生素进口来源对于提高供应链弹性至关重要.
研究的目的:
- 确定美国抗生素进口的全球来源,包括成品剂型 (FDF) 和活性药物成分 (API).
- 分析1992年至2024年的进口趋势,以告知政策决策.
主要方法:
- 使用美国贸易在线 (1992-2024) 的美国进口记录进行横截面研究.
- 对进口量,成本,原产国和市场集中度的分析 (赫芬达尔-希尔施曼指数).
主要成果:
- 到2024年,美国的抗生素FDF进口量显著增加 (2595.0%),其中印度和意大利是主要来源.
- 进口的API主要来自中国 (62.6%的数量),市场高度集中 (HHI>5000).
- 1992年至2024年期间,FDF和API的平均通胀调整后价格大幅下降.
结论:
- 美国抗生素供应链依赖于多种FDF来源,但在API方面严重依赖中国.
- 促进国内生产和来源多样化的政策对于减轻脆弱性至关重要.
- 建议加强可追溯性和有针对性的战略,以确保公共卫生和国家安全.
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