医保目录调整对医院抗菌药物使用倾向的影响

The influence on the use of antibacterial in hospitals caused by the medical insurance catalogue adjusted changes

目的通过研究2004版《医保目录》调整对医院抗菌药物使用倾向的影响,为《医保目录》的修订提供建议。方法分析2004版《医保目录》调整前后的广州市部分医疗机构抗菌药物的使用情况,本文分析采用频度分析方法、对应分析统计方法。结果《医保目录》调整后总的趋势是医院更倾向于选择医保用药,特别是医保乙类药物。结论医院选择抗菌药物的倾向受《医保目录》的影响,《医保目录》对医疗行为的引导性作用应引起重视。

Objective Through analyzing antibiotics prescription in some representative hospitals in Guangzhou before and after the adjustment of the medical insurance catalogue in 2004, the research will offer some reference information for the revision of the medical insurance catalogue. Methods To evaluate the usage of antibiotics in some representative hospitals in Guangzhou before and after the adjustment of the medical insurance catalogue in 2004, this article employed the frequency analysis method and the correspondence factor analysis method. Results Hospitals tend to choose the Medicare drugs, especially the second group of the drugs. Conclusion The Medicare Catalogue has an influence on choosing drugs in hospitals, so it＇ s roles of guidance in medical treatment should be paid enough attention to.