CAJ | 학술논문

目的：了解新医改前后我国社区卫生服务机构药学服务状况，为政府采取相应的干预策略提供依据。方法采用药学服务指标对2008年和2011年的社区卫生服务机构药学服务质量进行比较研究。结果新医改以来，我国社区卫生服务机构的药学服务质量总体上有很大提高：2008年至2011年，平均每张处方用药数从2.51种降至2.23种，每百张处方使用抗生素的处方数从43.98张降至32.08张，每百张处方使用激素的处方数从7.13张降至4.67张，每百张处方使用二联抗生素的处方数从11.24张降至7.31张，这4个指标在新医改前后的差异有统计学意义(P 值分别为0.003、0.001、0.003、0.004)；但仍存在不足：2008年至2011年，平均处方费用从59.63元降至51.18元，每百张处方含静脉点滴的总处方数从34.84张降至30.41张，这2个指标在新医改前后的差异无统计学意义(P 值分别为0.182、0.236)。结论为持续提高社区卫生服务机构的药学服务质量，政府应进一步加大对社区卫生服务机构的财政投入。
목적：료해신의개전후아국사구위생복무궤구약학복무상황，위정부채취상응적간예책략제공의거。방법채용약학복무지표대2008년화2011년적사구위생복무궤구약학복무질량진행비교연구。결과신의개이래，아국사구위생복무궤구적약학복무질량총체상유흔대제고：2008년지2011년，평균매장처방용약수종2.51충강지2.23충，매백장처방사용항생소적처방수종43.98장강지32.08장，매백장처방사용격소적처방수종7.13장강지4.67장，매백장처방사용이련항생소적처방수종11.24장강지7.31장，저4개지표재신의개전후적차이유통계학의의(P 치분별위0.003、0.001、0.003、0.004)；단잉존재불족：2008년지2011년，평균처방비용종59.63원강지51.18원，매백장처방함정맥점적적총처방수종34.84장강지30.41장，저2개지표재신의개전후적차이무통계학의의(P 치분별위0.182、0.236)。결론위지속제고사구위생복무궤구적약학복무질량，정부응진일보가대대사구위생복무궤구적재정투입。
Objective Understanding current situation of pharmaceutical service before and since the ongoing health reform in community health institutions of China,and providing practical evidences to the government.Methods Adopting some indicators to comparative study the pharmaceutical care in 2008 and 201 1 in community health service institutions of China.Results From 2008 to 201 1, pharmaceutical service quality in general has greatly improved in community health institutions of China. For example,average number of drugs per prescription descended from 2.5 1 to 2.23.Percentage of prescriptions with an antibiotic descended from 43.98 to 32.08.Percentage of prescriptions with a hormone descended from 7.13 to 4.67.Percentage of prescriptions with two or more antibiotics descended from 1 1.24 to 7.31.These four indicators before and since the reform have statistical significance (P values are:0.003,0.001,0.003,0.004 respectively).But there are still inadequacies:from 2008 to 201 1,the average prescription cost descended from 59.63 to 5 1.18 yuan.Percentage of prescriptions with an IV drip descended from 34.84 to 30.41.These two indicators have not statistical significance(P values are 0.182,0.236 ).Conclusion To improve the quality of pharmaceutical service in community health institutions,the government should increase financial input to the community health institutions.