基本药物制度对浙江省试点机构门诊平均处方用药数的作用

Impacts of Essential Medicines Reform Pilot on the Average Number of Medicines Per Prescription in Primary Medical Institutions in Zhejiang Province

目的:评价浙江省基本药物制度对门诊处方用药数量的影响。方法:选择实施基本药物制度的杭州市下城区社区卫生服务中心、义乌市义亭镇中心卫生院作为政策干预组,没有实施的东阳市六石镇卫生院作为对照组,形成非随机对照前后测量的类实验设计。利用电子信息系统导出基本药物制度开展一年前及开展后的门诊电子数据,采取双差法(double differences)的评估设计和数据分析。结果:通过负二项回归,控制了年龄、性别的影响和两组基线差异后,结果表明基本药物制度试点改革使门诊平均处方用药数下降11.2%(P=0.000)。结论:基本药物制度的实施对促进合理用药,降低平均处方用药数有积极作用。

Objective： To evaluate impacts of the Essential Medicines Refnrm in Zhejiang Province on the average number of medicines per prescription at primary medical institutions. Methods： Xiacheng Community HeaLth Center and Yiting township hospital were chosen as pilot hospitals and l,iushi township hospital as comparison group. Data that one year before and after reform was obtained from electronic infonnation system both from two groups. Double Differences was employed to estimate the impact of intervention on average-number of medicines per prescription. Results： Essential Medicines reform resulted in decreasing the average number of medicines per prescription by 11.2%. Conclusion： The Essential Medicines reform in Zhejiang Province has impact on deceasing average number of medicines per prescription.