山西省村卫生室基本药物使用现状研究

Study on the Essential Drug's Present Using Situation of Village Clinics in Shanxi Province

目的调查山西省村卫生室的就诊情况及基本药物的配备、采购和使用情况,以期为国家基本药物制度的推行提供有益借鉴。方法运用描述性分析方法,对调查地区村卫生室基本药物使用状况进行分析。结果村卫生室接诊患者所患疾病主要为急性上呼吸道感染、食管、胃和十二指肠疾病等常见易发疾病,门诊费用以药费为主,国家基本药物目录药品和山西省增补药品使用率较高,但仍以抗生素和注射用药为主,中药饮片使用率极低。建议增加村卫生室的投入,适当增加村卫生室基药目录外可使用的药品,调整一般诊疗费报销政策,提高村医中医药诊疗服务能力。

OBJECTIVE Investigate the essential drug's equipment, purchasing and using situation of village clinics in Shanxi in or-der to provide useful referencs to the implementation of national essential drug system. METHODS Using descriptive method to ana-lyze the implemtation of national essential drug system. RESULTS The patients mainly had common and prone diseases, such asacute upper respiratory infection, esophagus gastroduodenal diseases, etc. Out-patient payment mostly was composed of medicinecharge, drugs in national essential drugs list and the supplementary list of Shanxi Province were highly used, but antibiotic drugs andinjection durgs are mostly used, Chinese medicine herbs were seldom used. SUGGESTION Increase the investment of villiage clinics,appropriatly increase the numbers of external medicine, adjust the general medical expenses reimbursement policy, improve the TCMdiagnosis and treatment service ability of village doctors.