1994～1999年上海市抗高血压药物、抗糖尿病药物、抗精神失常药物和抗生素的费用和用量分析

1994~1999 expenditure and consumption analysis of antihypertensives,antidiabetics,psychosolytics and antibiotics in Shanghai

目的:了解上海市抗高血压药物、抗糖尿病药物、抗精神失常药物和抗生素的费用和用量的变化趋势。方法:选取1994～1999年上海市医院用药分析系统中的抗高血压药物、抗糖尿病药物、抗精神失常药物和抗生素类药品数据资料,以年为时间单位,以1994年为基年,每种药品的费用按1994年的不变价格计算,每种药品的用量折算成DDDs。结果:这4类药品的总费用和总用量均呈增长趋势,总费用的增长率超过总用量的增长率。费用最高的是抗生素,费用增长率最高的是抗糖尿病药物和抗精神失常药物。用量最多的是抗高血压药物,用量增长率最高的是抗糖尿病药物。结论:上海市这4类药品的总费用快速增长,用药价格水平逐步上升,疾病谱不断变化。

Objective:To investigate the expenditure and consumption trends of antihypertensives, antidiabetics, psy-chosolyics and antibiotics in Shanghai. Method: Data of these categories of durgs were selected from the Information System of Hospital Drug Purchasing from 1994 to 1999. The unit of time in the study was year and the data of 1994 was considered the baseline value. Expenditure was calculated according to fixed basic price. The amount of each class of drug was converted into DDDs. Results : Total expenditure and consumption of these 4 classes of drugs increased year by year. Growth rate of total expenditure exceeded that of total consumption. Antibiotics ranked first on the list of expenditure,antidiabetics and psy-chosolytics ranked first and second respectively on the list of expenditure growth rate. Antihypertensives ranked first on he list of consumption,antidiabetics ranked first on the list of consumption growth rate. Conclusion:Total expenditure of these 4 calsses of drugs together with their price levels increased sharply during these years. Disease spectrum was also changing.