2000年～2001年上海市医院用药变化及其发展趋势预测

The Changes and Developing Trend of Drugs Used in Hospitals of Shanghai During the Period 2000～2001

目的 :了解实施医疗保险制度近年来上海市医院的用药变化及其发展趋势。方法 :运用HPDIS系统收集上海市46家医院2000年～2001年的药品购进和销售数据 ,并进行统计、分析。结果 :每年的药品消费呈周期性变化 ,大致经历年初缓平、年中复苏、年末猛增3个阶段 ,其中以家庭必备药品涨幅最大 ,而与危重病相关的药品变化最小。同时 ,随着“个人帐户”的设立 ,人们已倾向于选择价廉、质优的国产仿制药。结论

OBJECTIVE:To make out the recent changes and developing trend of drugs used in hospitals of Shanghai since implementation of medial insurance system METHODS:Using HPDIS system,the data of purchase and sales volume of drugs,in 46 hospitals in Shanghai during the period 2000～2001,were collected and analysed RESULTS:The annual consumption displayed a periodic change,which was steady at the beginning of the year,restored at the middle of the year and increased vigorously at the end of the year The rise range of household essential drugs was maximum and that of drugs for critical cases minimum With the open of personal account,people have been inclined to select inexpensive domestic drugs with high quality CONCLUSION:The implemention of medical insurance system in cities and towns does not influence the consumption of drugs on the whole