CAJ | 학술논문

目的：探讨江苏省农村地区实施基本药物制度前后用药变化情况。方法收集2010、2011年江苏省部分地区12家乡镇卫生院的处方数据进行基本药物销售额分析，抽查2010年10月、2011年10月门诊处方各100张进行合理用药分析，发放问卷随机调查农村居民药品费用支出变化情况。结果基本药物制度实施后，基本药物销售金额占药品销售总金额比例平均从2010年的32.58%上升到2011年的52.92%；基本药物处方比例同比增加43.94%，平均每张处方药费同比下降23.52%。24.04%（75/312）的农村居民认为基本药物制度实施后，就诊费用支出基本不变；39.42%（123/312）则认为就诊费用小幅降低，实惠不明显；16.03%（50/312）认为就诊费用反而增加；11.22%（35/312）认为就诊费用大幅降低，实惠明显。结论实施基本药物制度后，乡镇卫生院收支结构发生改变，患者就医负担有所减轻，但不合理用药情况依然存在。
목적：탐토강소성농촌지구실시기본약물제도전후용약변화정황。방법수집2010、2011년강소성부분지구12가향진위생원적처방수거진행기본약물소수액분석，추사2010년10월、2011년10월문진처방각100장진행합리용약분석，발방문권수궤조사농촌거민약품비용지출변화정황。결과기본약물제도실시후，기본약물소수금액점약품소수총금액비례평균종2010년적32.58%상승도2011년적52.92%；기본약물처방비례동비증가43.94%，평균매장처방약비동비하강23.52%。24.04%（75/312）적농촌거민인위기본약물제도실시후，취진비용지출기본불변；39.42%（123/312）칙인위취진비용소폭강저，실혜불명현；16.03%（50/312）인위취진비용반이증가；11.22%（35/312）인위취진비용대폭강저，실혜명현。결론실시기본약물제도후，향진위생원수지결구발생개변，환자취의부담유소감경，단불합리용약정황의연존재。
Objective To assess the changes in drug use after the implementation of essential medicine system in the rural areas of Jiangsu Province. Methods We collected prescription data from 12 rural health centers in Jiangsu Province of 2010 and 2011 and made an analysis of the sales volume of essential medicines. We randomly selected 100 prescriptions of October 2010 and 100 prescriptions of October 2011 for the analysis of rational drug use. Random questionnaire survey was conducted to investigate the changes of rural residents' expenses on medicines. Results After the implementation of essential drug system,the ratio of the sales amount of essential medicines to the aggregate medicine sales amount increased from 32. 58% in 2010 to 52. 92%in 2011;the proportion of essential medicine prescription increased by 43. 94% compared with the same period of last year,and the average medicine expense of each prescription dropped to 23. 52% compared with the same period of last year. Among the rural residents who were investigated,24. 04% ( 75/312 ) thought the medical expenses basically remained unchanged after the implementation of essential drug system,39. 42%(123/312) thought the medical expenses decreased slightly with unobvious benefits,16. 03%(50/312)thought the medical expenses increased instead,and 11. 22%(35/312)thought the medical expenses decreased significantly. Conclusion After the implementation of essential drugs system,the revenue and expenditure structure of rural health centers has changed,and patients' financial burden has been eased,while the irrational drug use still exists.