CAJ | 학술논문

目的：研究淳安县基本药物制度实施对社区卫生服务中心合理用药的影响。方法以浙江省淳安县实施基本药物制度的汾口镇社区卫生服务中心作为干预组，实施前作为对照组，通过现场处方调查，分析实施基本药物制度是否促进了合理用药。结果单张处方药品数由2．68个下降为2．23个（ P＜0．05），差异有统计学意义；单张处方平均费用由42.11元下降为37．75元（ P＜0．05），基本药物平均使用率由79．90％上升为89．81％（ P＜0．05），3项指标均有统计学差异；注射处方比例由37．87％下降为28．50％（ P＞0．05），抗生素处方比例由36．52％下降为24．46％（ P＞0．05），两个指标没有统计学差异。结论淳安县实施基本药物制度对社区卫生服务中心单张处方药品数及单张处方平均费用有所下降而基本药物平均使用率相应提高，但抗生素，注射处方比例并未得到有效改善，属于不合理用药范畴，虽已颁布并实施国家基本药物使用手册，但缺少有效的促进合理用药措施。
목적：연구순안현기본약물제도실시대사구위생복무중심합리용약적영향。방법이절강성순안현실시기본약물제도적분구진사구위생복무중심작위간예조，실시전작위대조조，통과현장처방조사，분석실시기본약물제도시부촉진료합리용약。결과단장처방약품수유2．68개하강위2．23개（ P＜0．05），차이유통계학의의；단장처방평균비용유42.11원하강위37．75원（ P＜0．05），기본약물평균사용솔유79．90％상승위89．81％（ P＜0．05），3항지표균유통계학차이；주사처방비례유37．87％하강위28．50％（ P＞0．05），항생소처방비례유36．52％하강위24．46％（ P＞0．05），량개지표몰유통계학차이。결론순안현실시기본약물제도대사구위생복무중심단장처방약품수급단장처방평균비용유소하강이기본약물평균사용솔상응제고，단항생소，주사처방비례병미득도유효개선，속우불합리용약범주，수이반포병실시국가기본약물사용수책，단결소유효적촉진합리용약조시。
Objective To study the impact of essential medicine system on rational drug use in Community Health Care Center of Chun′an District .Methods Essential drug system in Community Health Care Center of Chun′an District in Zhejiang Province was taken as the intervention group ,and before implementation was taken as contrast group ,the essential medicin system was analyzed whether it was or not to promote the rational use of drugs by prescription surveys .Results Average num-ber of drugs per encounter was lower from 2 .68 to 2 .23(P< 0 .05) ,average expenditure per encounter was lower from 42 .11 yuan to 37 .75 yuan(P<0 .05) ,the use of essential medicines was riser from 79 .90% to 89 .81% (P<0 .05) ,the three in-dexes had significant difference ,the percentage of injections per encounter was lower from 37 .87% to 28 .50% (P>0 .05) ,the percentage of antibiotics per encounter was lower from 36 .52% to 24 .46% (P> 0 .05) ,the two indexes had no significant difference .Conclusion After execution of essential medicine system in Community Health Care Center of Chun′an District ,av-erage number of drugs and average expenditure per encounter were lower and the use of essential medicines was riser ,but the percentage of antibiotics and percentage of injections were not been improved ,belonged to irrational category ,although there had essential medicines manual ,but effective promoting measures still was deficient .