摘要
目的:为推进国家基本药物制度及相关政策的进一步实施提供参考。方法:借助医院信息系统(HIS)及Excel 2007、SPSS 13.0统计软件,分别统计和比较成都市某县级公立医院在《国家基本药物目录(2012年版)》(简称2012版基药目录)、取消药品加成政策实施前后配备国家基本药物具体品种的变化和国家基本药物总体使用情况的差异。结果:实施2012版基药目录后,该院配备国家基本药物品种较实施前新增60种,其中化学药品和生物制品部分增加38种,中成药部分增加22种;基本药物占处方用药的百分率、基本药物处方率、单张处方基本药物平均个数、全是基本药物的处方率4个处方指标较实施前均显著提高,差异均有统计学意义(P<0.05)。实施取消药品加成政策后,该院配备国家基本药物品种较实施前新增5种,其中化学药品和生物制品部分增加3种,中成药部分增加2种;上述4个处方指标较实施前变化不显著,差异均无统计学意义(P>0.05)。结论:2012版基药目录和取消药品加成政策实施后该院国家基本药物配备仍不充足,部分使用指标仍未达到四川省的要求。建议县级公立医疗卫生机构根据具体情况选择适合的国家基本药物;加强宣传和培训,提高医师对国家基本药物制度的知晓率;加强对医师使用基本药物的考核和管理。同时,建议政府及相关部门探索更加有效、合理的补偿机制,以提高医师使用国家基本药物的积极性。
OBJECTIVE：To provide reference for promoting the further implementation of national essential medicine system and related policies. METHODS：Hospital information system（HIS）,Excel 2007 and SPSS 13.0 software were adopted to statistically compare the changes in equipping the specific varieties of national essential medicines and the differences in the overall use of national essential medicines before and after implementing the National Essential Medicine System（2012 edition）（referred to NEMS,2012 edition） and cancelling drug addition policy in a public hospital in Chengdu. RESULTS：After implementing the NEMS（2012 edition）,60 kinds of equipping national essential medicines increased in the hospital,including 38 kinds of chemical medicines and biological products,22 kinds of Chinese patent medicines;compared with before,the percentage of essential medicines to prescription drugs,prescription rate of essential medicines,average essential medicine in a single prescription and prescription rate of all essential medicines were significantly improved（P〈0.05）. After cancelling drug addition policy,5 kinds of equipping national essential medicines increased in the hospital,including 3 kinds of chemical medicines and biological products,2kinds of Chinese patent medicines;the above-mentioned 4 indexes showed no obvious changes,with no statistical significances（P〈0.05）. CONCLUSIONS：After implementing the NEMS（2012 edition）and cancelling drug addition policy,the equipping national essential medicines are still insufficient,some indexes do not meet the requirements of Sichuan Province. It is suggested that the public medical and health institution at county-level should to choose suitable national essential medicines based on its specific situation;strengthen publicity and education,improve the popularity of physicians to national essential medicine system;strengthen the assessment and management of the use of essential medicines for physicians. Meanwhile,the government and the relevant departments are suggested to explore more effective and reasonable compensation mechanism to improve the enthusiasm of physicians to use the national essential medicines.
出处
《中国药房》
CAS
北大核心
2016年第30期4181-4183,共3页
China Pharmacy
基金
四川省卫生厅科研项目(No.110115)
关键词
县级公立医疗卫生机构
基本药物目录
药品加成
国家基本药物
使用
影响
Public medical and health institution at county-level
Essential medicine system
Drug addition
National essential medicine
Use
Effect
