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黄冈市贫困地区26家农村基层医疗卫生机构基本药物使用情况调查
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| 篇名： | 黄冈市贫困地区26家农村基层医疗卫生机构基本药物使用情况调查 |
| TITLE： | |
| 摘要： | 目的：为进一步促进基本药物在基层医疗卫生机构的合理使用提供参考。方法：在湖北省黄冈市的两个贫困县（市）随机抽取26家农村基层医疗卫生机构（13家乡镇卫生院、13家村卫生室），通过导出医院信息系统数据和现场访谈，就基本药物使用情况进行调查和统计、分析。结果：样本乡镇卫生院基本药物使用率为76.9％，使用金额占比为93.0％；样本村卫生室基本药物使用率为89.7％；样本乡镇卫生院和村卫生室基本药物目录品种利用率分别为53.6％和25.0％，其国家基本药物目录品种利用率均高于省增补基本药物目录品种利用率；样本基层医疗卫生机构抗微生物药、心血管系统用药等五大类常见药物使用金额合计在全部化学药使用金额中的占比为64.7％；使用金额排前10位的药品均为基本药物，其中9种是国家基本药物；样本乡镇卫生院平均每张门诊处方药品数为2.8种，抗菌药物处方比例平均为44.2％。结论：该地区乡镇卫生院基本药物使用率低于世界卫生组织的建议值，使用金额占比符合政策要求；基层医疗卫生机构省增补基本药物目录品种利用率偏低，抗微生物药使用金额较高，处方用药合理性仍有待提高。建议针对本地实际情况，动态调整省增补目录品种，并严格控制几类主要药物的价格、用量以及处方合理性。 |
| ABSTRACT： | OBJECTIVE： To provide reference for promoting the rational use of essential medicines in primary medical institutions. METHODS： Twenty six rural primary medical institutions （13 township health centers， 13 village clinics） were randomly selected from 2 poverty-stricken county （city） in Huanggang city of Hubei province. The utilization of essential medicine was investigated and analyzed statistically through exporting hospital information system data and on-site interviews. RESULTS： The utilization rate of essential medicine in sample township health centers was 76.9％， and the amount of essential medicine accounted for 93.0％； the utilization rate of essential medicine in sample village clinics was 89.7％. The utilization rate of variety from essential medicine list was 53.6％ in sample township health centers and 25.0％ in sample village clinics； the utilization rate of variety from National Essential Medicine List was higher than that of Provincial Essential Medicine List Supplement. The amount of 5 major categories as antimicrobial agents， cardiovascular agent in sample primary medical institutions accounted for 64.7％ of chemical agents. The top ten medicines in the list of amount were all essential medicine， 9 of which were national essential medicines. There were 2.8 kinds of medicines in each outpatient prescription averagely in sample township health centers. The proportion of antibiotic prescription was 44.2％. CONCLUSIONS： The utilization rate of essential medicines in township health centers of this area is lower than WHO recommended value， and the ratio of amount meets the policy requirements. The utilization rate of variety from Provincial Essential Medicine List Supplement is in low level in primary medical institutions； the amount of anti-microbial drugs is in high level； the rationality of medicine use in prescriptions needs to be improved. It is suggested to adjust the type of provincial supplement list dynamically according to actual situation and control the price and amount of main categories strictly， the rationality of prescription. |
| 期刊： | 2018年第29卷第2期 |
| 作者： | 王文杰，肖琳琪，李琛，方欣，张欲晓，崔丹，殷潇，毛宗福 |
| AUTHORS： | WANG Wenjie，XIAO Linqi，LI Chen，FANG Xin，ZHANG Yuxiao，CUI Dan，YIN Xiao，MAO Zongfu |
| 关键字： | 农村；基层医疗卫生机构；基本药物；使用情况；调查 |
| KEYWORDS： | Countryside； Primary medical institutions； Essential medicine； Utilization； Investigation |
| 阅读数： | 528 次 |
| 本月下载数： | 32 次 |
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