新医改前后肥西县乡镇卫生院抗菌药物使用情况调查分析

Investigation and Analysis on Antibacterial Drug Use in Feixi Township Hospitals Before and After New Medical Reform

目的了解新医改前后肥西县乡镇卫生院抗菌药物的使用情况并作分析。方法采用随机抽样的方法,选取8家肥西县乡镇卫生院,再分别抽取这8家乡镇卫生院2009年10月和2010年10月的全部电子处方(包括急、门诊处方和住院处方)。对抗菌药物的品种、剂型、用药金额、用药频度、限定日剂量和序号比进行统计分析。结果综合8家乡镇卫生院的总体情况,与医改前(2009年)相比,医改试点后(2010年)抗菌药物注射剂使用频度有所下降,口服剂型使用比例增加,基本药物使用比例大幅提高;抗菌药物销售金额显著下降,使用级别降低。结论实施医改后,抗菌药物使用情况有所改善,但不合理现象仍然存在。

Objective To analyze the condition of antibacterial drug use in Feixi township hospitals before and after the medical reform. Methods Eight township hospitals were selected by random sampling, and all electronic prescriptions in October 2009 and October 2010 in each hospital were extracted, including emergency, outpatient and inpatient prescriptions. Varieties, forms, drug consumption sum, DDDs, defined daily dose （DDD） and sequence number （SN） ratio of antibacterial drugs were statistically analyzed. Results Totally, comparing with the situation before the medical reform （in 2009）, the using frequency of antibiotic injections decreased; the using percentage of oral formulations increased, particularly for essential medicines, of which the using frequency raised considerably; the sales amount of antibacterial drugs dropped significantly, and the use level was greatly reduced after the medical reform （in 2010）. Conclusion After the implementation of the medical reform, the situation of antibacterial drug use has been improved, but the phenomenon of irrational drug use still exist.