摘要
目的了解基本药物制度实施前后基本药物配备和使用情况。方法以问卷调查的方式收集实施基本药物制度前后上海市某区各级医疗机构基本药物的配备情况,并对社区卫生服务中心基本药物供应、医生的处方行为和合理用药情况进行分析。结果全面实施基本药物制度后,各医疗机构基本药物配备率有所增加;基本药物供应存在短缺断货现象;基本药物处方率、基本药物使用百分率及完全基本药物的处方率均大幅上升,平均每张处方用药品种数、抗生素使用百分率、二联抗生素使用百分率和注射剂使用百分率及平均处方费用均有所下降。结论基本药物制度实施有利于合理用药和减轻患者就医负担。
OBJECTIVE To study the present status of essential medicines application in community health centers. METHODS Quantitative and qualitative studies were carried out in a district of Shanghai to probe into the present status of essential medicine provision, priscription and rational ,se of essential medicine after the implementation of essential medicine policy. RESULTS With the policy implemented in community health centers, the total number of essential medicines in each medical facility increases while certain essential medicines were still in short supply. With the increase of essential medicine prescription proportion, the average medicine number in one prescription, antibiotics or two kinds of antibiotics use proportion, injection use proportion and average prescription expenditure all decrease. CONCLUSIONS The essential medicine policy and application in community health centers help to the rational use of essential medicine and relieve patients of economic burden to a certain extent.
出处
《中国初级卫生保健》
2013年第1期1-4,共4页
Chinese Primary Health Care
基金
上海市卫生局授权并资助项目"上海市基本药物制度实施评价"(2011HP006)
关键词
基本药物制度
社区卫生服务中心
合理用药
处方分析
essential medicine system
community health center
rational use of drug
prescription analysis
