中华医院管理杂志
中華醫院管理雜誌
중화의원관리잡지
CHINESE JOURNAL OF HOSPITAL ADMINISTRATION
2013年
7期
488-491
,共4页
高月霞%李奕辰%刘国恩%宗蕾%肖静
高月霞%李奕辰%劉國恩%宗蕾%肖靜
고월하%리혁신%류국은%종뢰%초정
基本药物制度%社区卫生服务中心%合理用药%评价
基本藥物製度%社區衛生服務中心%閤理用藥%評價
기본약물제도%사구위생복무중심%합리용약%평개
Essential medicine system%Community health service center%Rational drug use%Evaluation
目的 评价基本药物制度对江苏省社区卫生服务中心合理用药的影响.方法 整群抽取南通市6个社区卫生服务中心2009年1月至2011年12月7667张门诊处方,采用世界卫生组织(WHO)推荐的合理用药调研的部分指标及自设指标分析用药的合理性.结果 基本药物制度实施后,每张处方平均用药品种数由3.02种减少到2.74种,抗生素使用率由61.43%降低到51.20%,一种抗生素使用率由33.94%下降到28.58%、两联抗生素使用率由20.43%下降到15.80%,注射剂使用率由31.74%降低到14.13%,差异均有统计学意义(P<0.001);每张处方平均费用由69.70元上升到87.28元,基本药物使用率由81.22%提高到85.60%,注射剂使用率由31.14%下降到14.13%,中药使用率由16.17%上升到20.80%,差异均有统计学意义(P<0.001).结论 基本药物制度促进了合理用药,但处方费用较高,抗生素不合理使用仍然存在.
目的 評價基本藥物製度對江囌省社區衛生服務中心閤理用藥的影響.方法 整群抽取南通市6箇社區衛生服務中心2009年1月至2011年12月7667張門診處方,採用世界衛生組織(WHO)推薦的閤理用藥調研的部分指標及自設指標分析用藥的閤理性.結果 基本藥物製度實施後,每張處方平均用藥品種數由3.02種減少到2.74種,抗生素使用率由61.43%降低到51.20%,一種抗生素使用率由33.94%下降到28.58%、兩聯抗生素使用率由20.43%下降到15.80%,註射劑使用率由31.74%降低到14.13%,差異均有統計學意義(P<0.001);每張處方平均費用由69.70元上升到87.28元,基本藥物使用率由81.22%提高到85.60%,註射劑使用率由31.14%下降到14.13%,中藥使用率由16.17%上升到20.80%,差異均有統計學意義(P<0.001).結論 基本藥物製度促進瞭閤理用藥,但處方費用較高,抗生素不閤理使用仍然存在.
목적 평개기본약물제도대강소성사구위생복무중심합리용약적영향.방법 정군추취남통시6개사구위생복무중심2009년1월지2011년12월7667장문진처방,채용세계위생조직(WHO)추천적합리용약조연적부분지표급자설지표분석용약적합이성.결과 기본약물제도실시후,매장처방평균용약품충수유3.02충감소도2.74충,항생소사용솔유61.43%강저도51.20%,일충항생소사용솔유33.94%하강도28.58%、량련항생소사용솔유20.43%하강도15.80%,주사제사용솔유31.74%강저도14.13%,차이균유통계학의의(P<0.001);매장처방평균비용유69.70원상승도87.28원,기본약물사용솔유81.22%제고도85.60%,주사제사용솔유31.14%하강도14.13%,중약사용솔유16.17%상승도20.80%,차이균유통계학의의(P<0.001).결론 기본약물제도촉진료합리용약,단처방비용교고,항생소불합리사용잉연존재.
Objective To evaluate the impacts of the essential medicine system in Jiangsu Province on rational drug use in community health service centers.Methods 7667 outpatient prescriptions from 6 community health service centers in Nantong were selected by cluster sampling from January 2009 to December 2011,the part of SDUIs(Selected Drug Use Indicators)developed by WHO and the self-design indicators were employed to analyze rational use of drugs.Results After implementation of the essential medicine system,the average types of drugs per prescription decreased from 3.02 to 2.74,the rate of antibiotic drugs usage dropped from 61.43% to 51.2%,the rate of one antibiotic usage reduced from 33.94%to 28.58%,and two types from 20.43%to 15.8%,all with significant differences(P<0.001).The average expenses in single prescription arose from RMB 69.70 to 87.28,the rate of essential medicine usage increased from 81.22%to 85.60%,the injection utilization decreased from 31.14% to 14.13%,while TCM utilization ascended from 16.17%to 21.8%,all with significant differences(P<0.001).Condusion The essential medicine systems has positive impacts on rational drug use,but the expenses of per prescription are higher,and irrational antibiotic drugs are still a serious problem.