CAJ | 학술논문

目的：比较一系列医药卫生政策实施前后基本药物和抗菌药物临床使用情况，评价其对医疗机构合理用药的影响。方法：选取某医院门急诊处方和出院病历，将2011年作为政策实施前组，2012年作为实施1阶段组，2013年作为实施2阶段组，进行实施前后的对照研究，考察政策实施的有效性和可行性。结果：实施2阶段基本药物门诊处方使用率为51%，基本药物金额使用率为33％。实施2阶段抗菌药物使用强度为38.67%，较实施前的76.06%明显下降，两组比较差异有统计学意义（P<0.01）；Ⅰ类切口手术预防使用抗菌药物比例也有明显下降，两组比较差异有统计学意义（P<0.01）。结论：医药卫生政策和整治干预措施的出台对促进合理用药产生一定影响。
목적：비교일계렬의약위생정책실시전후기본약물화항균약물림상사용정황，평개기대의료궤구합리용약적영향。방법：선취모의원문급진처방화출원병력，장2011년작위정책실시전조，2012년작위실시1계단조，2013년작위실시2계단조，진행실시전후적대조연구，고찰정책실시적유효성화가행성。결과：실시2계단기본약물문진처방사용솔위51%，기본약물금액사용솔위33％。실시2계단항균약물사용강도위38.67%，교실시전적76.06%명현하강，량조비교차이유통계학의의（P<0.01）；Ⅰ류절구수술예방사용항균약물비례야유명현하강，량조비교차이유통계학의의（P<0.01）。결론：의약위생정책화정치간예조시적출태대촉진합리용약산생일정영향。
Objective:To evaluate the impact of medicines policy on rational use of drugs by comparing the essential drugs and antibiotics.Method:A total of prescriptions in outpatients and emergency departments of hospital records,2011 was selected as a policy implementation group,2012 as part of the implementation of phase 1 group,2013 as part of the implementation of phase 2 group,before and after the implementation of the control study,the effectiveness and feasibility of the implementation of the policy were investigated.Result:The usage of prescriptions and essential drugs was 51% and 33% respectively.The implementation of phase 2 the intensity of use of antimicrobial agents for 38.67%,compared with the former of 73.06% were decreased significantly,the difference between the two groups had statistically significance(P<0.05).Type I incision surgery to prevent use of antibacterial drugs proportion had decreased significantly,the difference had statistically significance(P<0.01).Conclusion:Medicines policy and intervention measures have some effect on the promotion of rational drug use.