四川省常用药品使用及储备情况入户调查

A household survey on the situation of drug use and storage in families in sichuan Province

目的:从需求侧的角度分析新医改多重政策实施背景下四川省家庭药品可及性改善情况和抗菌药物的使用现状。方法:参考世界卫生组织推出的《药品可及性及药品使用情况入户调查指南》,在四川省抽取成都、绵阳、内江、南充、广安、巴中6个市,在每个市的2个城区、2个县城以及2个乡镇共抽取1 080户家庭为样本进行问卷调查,调查四川省常用药品使用及储备情况,并对收集的数据进行统计分析。结果:总体上,本次研究实际收集到1 103份有效问卷,458户受访家庭最近2周有成员患有急性病,521户受访家庭有成员患有慢性病。90%以上的急慢性病患者获得了药物治疗,受访家庭月均药品费用支出为334. 33元,占每月家庭总支出的9. 3%,不足20%的急慢性病患者获得了药品医保报销。40. 1%的急性病患者使用了抗生素,并且47. 5%使用的抗生素来自公立医疗机构。79. 7%的受访家庭家里备有药品,且乡镇家庭储备药品的比例低于城区、县城家庭。结论:新医改多重政策实施背景下四川省常用药品可及性较好,急慢性病药品可负担性情况良好,但在医保报销水平和家庭抗生素合理使用方面需要不断完善。

Objective:From the perspective of demand side,to analyse the situation of the accessibility of drugs and antibiotics use in families in Sichuan Province under the background of the implementation of new medical reform.Methods:Refer to the manual for the Household Survey to Measure Access and Use of Medicines recommended by the World Health Organization,We selected Chengdu,Mianyang,Neijiang,Nanchong,Guang'an and Bazhong six cities from Sichuan Province as the survey area and selected 180 households from two urban areas,two suburban areas and two rural areas in each selected city to conduct a questionnaire survey.We collected the data of the drug use and storage in families and did a statistical analysis on the collected data.Results:On the whole,a total of 1 103 valid questionnaires were collected.There were 458 households that reported having had acute illness(es)in the previous 2 weeks,and there were 521 households that reported had a chronic diseases.More than 90%of the patients with acute and chronic conditions received medical treatment,and the average monthly expenditure of used drug for the surveyed families was 334.33 yuan,which accounting for 9.3%of the total monthly household expenditure.Less than 20%of households with acute or chronic diseases received medical insurance reimbursement.40.1%of patients with acute condition used antibiotics,and 47.5%of the used antibiotics were from public medical institutions.79.7%of the surveyed families kept drugs at their home,and the proportion of families with drugs at home in the rural areas was lower than that in the urban and suburban areas.Conclusions:the accessibility of drugs in families in Sichuan Province was better under the background of the implementation of new medical reform and the affordability of drugs for acute and chronic condition was good.However,the level of medical insurance reimbursement and the rational use of antibiotics in families need to be improved continuously.