实施基本药物制度前后患者转诊情况分析

The analysis of the referrals before and after implementation of the essential drugs system

目的:调查上海市实施基本药物制度前后,社区居民"在社区配不到药"现象以及转诊率的变化,为政府下一步调整社区医疗机构基本药物目录提供参考。方法:对2009-2011年曲阳社区卫生服务中心登记在册的患者转诊资料与信息科的门诊就诊信息进行统计,分析实施基本药物制度前后的转诊率与转诊原因。结果:3年内居保患者的门诊转诊率平均为3.63‰,人均转诊次数为2.18次,实施基本药物制度前后,居保患者的转诊情况无明显统计学差异;因"配不到药"需要转诊的患者仅占17.40%。结论:目前在社区卫生服务中心实行的上海市688种基本药物目录,基本满足了社区居民的临床需求。

Objective： To study the phenomenon that the community residents fail to make up a prescription in community health service centre and the change of their referral rates before and after implementing the essential drugs system in Shanghai so as to provide the reference for the government to adjust the essential drugs catalogues in future. Method： The patient referral data registered in the community health service center and outpatient information in its information section from 2009-2011 were counted up and analyzed for their referral rate and reasons before and after implementation of the essential drugs system. Result： The average referral rate of the patients with residents＇ medical insurance was 3.63%o and the average referral time was 2.18 per person within 3 years. There were no significant statistical differences in the referral rates of the patient with residents＇ medical insurance before and after implementation of essential drugs system. The referral rate of the patients who failed to make up a prescription in the community health service center was 17.4%. Conclusion： The catalogues of 688 essential drugs implemented in the community health service centers can meet the basic clinical requirement of community residents.