我院2013年门诊基本药物使用情况调查分析

Investigation and Analysis of the Use of National Essential Medicines in Outpatient Department of Our Hospital in 2013

目的:了解我院门诊基本药物使用状况,促进基本药物在我院的合理使用。方法:比较我院(眼耳鼻喉专科医院)2013年门诊各科及全院上、下半年基本药物处方品种占比和费用占比;对眼科、耳鼻喉科两个主要科室处方品种占比居前列的药品进行排序,并对4个季度的排序进行比较。结果:随着2012年版《国家基本药物目录》的施行,2013年下半年全院门诊基本药物处方品种占比和费用占比较上半年均显著上升(P<0.01)。眼科2013下半年基本药物处方品种占比和费用占比较上半年均有显著上升(P<0.01),处方品种占比前20位中收载入2012年版《国家基本药物目录》的有2种,收载入2010版上海市增补目录的有3种。耳鼻喉科2013下半年基本药物处方品种占比较上半年显著下降(P<0.01),费用占比显著上升(P<0.01),处方品种占比前20位中收载入2012年版《国家基本药物目录》的有2种,收载入2010版上海市增补目录的有3种。结论:我院基本药物的处方品种占比和费用占比呈上升趋势,但非基本药物仍占主导地位,基本药物的使用率有待提高。基本药物目录收载的眼耳鼻喉科等专科药品品种不足、剂型单一,未来基本药物目录的调整还需要更多考虑专科医院的用药特点。

OBJECTIVE： To understand the situation of essential medicines and promote their rational use in our hospital. METHODS： The prescription variety and cost percentages of essential medicines in outpatient department in the two halves years of 2013 in our hospital （eye and ENT specialized hospitals） were compared; the medicines with forefront prescription kind percent- ages in eye and ENT departments were sorted and rankings in 4 quarters were compared. RESULTS ： After the approval of the Na- tional Essential Medicine List （2012 edition）, compared with the first half year of 2013, prescription variety and cost percentages of essential medicines in outpatient department in the second half year were significantly increased （P〈0.01）. Prescription variety and cost percentages of essential medicines in eye department in the second half year were significantly increased（P〈0.01）, in the top 20 prescription variety, totally 2 kinds were contained by the list 2012 edition and 3 were contained by the supplementary list of Shanghai （2012 edition）. Compared with the first half year of 2013, prescription variety and cost percentages of essential medi- cines in ENT department in the second half year were significantly decreased （P〈0.01）, the cost percentage was significantly in- creased（P〈0.01）, in the top 20 prescription variety, totally 2 kinds were contained by the list 2012 edition and 3 were contained by the supplementary list of Shanghai （2012 edition）. CONCLUSIONS： The prescription variety and cost percentages of essential medicines in our hospital show increase trend. Nevertheless, the non-essential medicines are still dominant and further improvement of essential medicines is still needed. Medicine variety and dosage forms of eye in ENT department are insufficient concluded in Es- sential Medicine List. Further adjustment of Essential Medicine List still needs more consideration for the medication characteristics in specialized hospital.