贵阳医学院学报
貴暘醫學院學報
귀양의학원학보
JOURNAL OF GUIYANG MEDICAL COLLEGE
2015年
3期
260-263
,共4页
基本药物制度%基层医疗机构%处方结构%处方,药物%费用,药物
基本藥物製度%基層醫療機構%處方結構%處方,藥物%費用,藥物
기본약물제도%기층의료궤구%처방결구%처방,약물%비용,약물
national essential drugs system%grassroots medical institutions%structure of prescrip-tion%prescription,drugs%expenses,drugs
目的：探讨基本药物制度的实施对贵州省基层医疗机构用药行为的影响。方法：从贵州省实施国家基本药物制度试点县（区、市）中随机抽取15个样本试点县（区、市）全部220家政府办基层医疗机构，对实施基本药物制度前（2009年）后（2010年）的门诊处方进行抽样调查，比较单张处方用药数量、抗生素比例、激素比例、注射剂比例、国家基本药物种数和处方金额的变化。结果：2010年单张处方药品品种数、单张处方联合用药5种以上处方比例低于2009年，差异有统计学意义（ P<0.05）；单张处方国家基本药物数高于2009年，差异有统计学意义（ P<0.05）；抗菌药物处方比例、抗菌药物三联及以上处方比例及平均每张处方抗菌药物数低于2009年，差异有统计学意义（P<0.05）；单种抗菌药物处方比例高于2009年，差异有统计学意义（P<0.05）；抗菌药物二联用处方比例、使用激素和注射剂的处方比例、单张处方金额无明显变化。结论：基本药物制度实施使贵州省基层医疗机构用药行为发生了一定的改变，基本药物使用有所增加，滥用抗生素的行为有所减少，但单张处方金额下降不明显。
目的：探討基本藥物製度的實施對貴州省基層醫療機構用藥行為的影響。方法：從貴州省實施國傢基本藥物製度試點縣（區、市）中隨機抽取15箇樣本試點縣（區、市）全部220傢政府辦基層醫療機構，對實施基本藥物製度前（2009年）後（2010年）的門診處方進行抽樣調查，比較單張處方用藥數量、抗生素比例、激素比例、註射劑比例、國傢基本藥物種數和處方金額的變化。結果：2010年單張處方藥品品種數、單張處方聯閤用藥5種以上處方比例低于2009年，差異有統計學意義（ P<0.05）；單張處方國傢基本藥物數高于2009年，差異有統計學意義（ P<0.05）；抗菌藥物處方比例、抗菌藥物三聯及以上處方比例及平均每張處方抗菌藥物數低于2009年，差異有統計學意義（P<0.05）；單種抗菌藥物處方比例高于2009年，差異有統計學意義（P<0.05）；抗菌藥物二聯用處方比例、使用激素和註射劑的處方比例、單張處方金額無明顯變化。結論：基本藥物製度實施使貴州省基層醫療機構用藥行為髮生瞭一定的改變，基本藥物使用有所增加，濫用抗生素的行為有所減少，但單張處方金額下降不明顯。
목적：탐토기본약물제도적실시대귀주성기층의료궤구용약행위적영향。방법：종귀주성실시국가기본약물제도시점현（구、시）중수궤추취15개양본시점현（구、시）전부220가정부판기층의료궤구，대실시기본약물제도전（2009년）후（2010년）적문진처방진행추양조사，비교단장처방용약수량、항생소비례、격소비례、주사제비례、국가기본약물충수화처방금액적변화。결과：2010년단장처방약품품충수、단장처방연합용약5충이상처방비례저우2009년，차이유통계학의의（ P<0.05）；단장처방국가기본약물수고우2009년，차이유통계학의의（ P<0.05）；항균약물처방비례、항균약물삼련급이상처방비례급평균매장처방항균약물수저우2009년，차이유통계학의의（P<0.05）；단충항균약물처방비례고우2009년，차이유통계학의의（P<0.05）；항균약물이련용처방비례、사용격소화주사제적처방비례、단장처방금액무명현변화。결론：기본약물제도실시사귀주성기층의료궤구용약행위발생료일정적개변，기본약물사용유소증가，람용항생소적행위유소감소，단단장처방금액하강불명현。
Objective:To explore the effect of implementation of national essential drugs system on drug taking behavior of grassroots medical institutions. Methods:A total of 220 grass-roots medical in-stitutions run by government were randomly selected from 15 samples of pilot county( city,district)of national essential drugs system in Guizhou province,and the outpatient prescription sampling survey was conducted before implementation( 2009 )and after implementation( 2010 ),which involved com-parison of the number of drugs in a single prescription,the proportion of antibiotics,the proportion of hormone,the proportion of injection,the variety of national essential drugs and the amount of prescrip-tion. Results:The number of drug varieties in a single prescription of 2010 and the number of pre-scription of more than 5 drug combinations in a single prescription of 2010 were lower than those of 2009 ,which showed statistical differences( P<0 . 05 ). The number of national essential drugs in a single prescription of 2010 was significantly higher than that of 2009( P<0 . 05 ). The proportion of antibiotics prescription,the proportion of antibiotics prescription of more than 3 drug combinations and the average number of antibiotics in a single prescription of 2010 were significantly lower than those of 2009( P<0 . 05 ). The proportion of single antibiotics prescription of 2010 was significantly higher than that of 2009( P<0 . 05 ). There was no significant difference in the proportion of antibiotics pre-scription of 2 drug combinations,the proportion of hormone and injection prescription and the amount of prescription between 2010 and 2009 . Conclusion:The implementation of national essential drugs system brings in some changes in drug taking behavior of grassroots medical institutions,including in-creased use of national essential drugs and decreased abuse of antibiotics. But the amount of single prescription is not obviously decreased.
