基本药物制度对乡镇卫生院使用“两素一汤”的影响评价

The Impact Evaluation of Essential Medicine Policies on Joint Usage of Antibiotics, Steroids and Intravenous Infusion in Township Health Care

目的:评价基本药物政策对抗生素、激素和静脉输液联合使用的作用。方法:选取东南沿海某省一个已实施基本药物制度的中心乡镇卫生院作为试点组,一个未开展基本药物制度的中心乡镇卫生院作为对照组,进行非随机对照前后比较的类实验研究,对两个机构的处方中是否联合使用抗生素、激素类药物和静脉输液进行Logistic回归。结果:基本药物制度实施使乡镇卫生院的门诊中联合使用两素一汤的概率增加了1.27倍(P<0.001)。结论:基本药物政策增加了抗生素、激素和静脉输液的联合用药的使用,需要进一步完善政策,促进合理用药。

Objective： To evaluate the impact of essential medicine policy on joint usage of antibiotics, steroids and intravenous infusion in township health care Health care. Methods： A township hospital implementing essential medicine policy was chosen as experimental group, and a similar township hospital which has not applied the essential medicine system was chosen as control group. It employs a pre-post with non-equivalent control design and logistic regression to estimate whether there is joint usage of antibiotics, hormone, and intravenous infusion in those prescriptions. Results： Essential medicine policy has increased the probability of joint usage of antibiotics, steroids and intravenous infusion increased by 1.27-fold （P〈0.001） in township health care. Conclusion： Essential medicine policy has increased the joint usage of antibiotics, hormones, and intravenous, and it needs timber improvement in policy implement and rational medicine use.