崇左市贫困地区23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: 崇左市贫困地区23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:在广西壮族自治区崇左市的两个贫困县随机抽取23家农村基层医疗卫生机构(8家乡镇卫生院、15家村卫生室),通过导出医院信息系统数据和现场访谈,就基本药物的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72.4%,基本药物使用金额占比为78.3%,国家基本药物目录品种利用率为36.9%,自治区增补目录品种利用率为47.2%(其中化学药品种利用率为53.9%,中成药品种利用率为39.7%);样本村卫生室基本药物使用率为64.4%,国家基本药物目录品种利用率为18.3%,自治区增补目录品种利用率为10.5%;5大类常用药物使用金额合计在全部化学药使用金额中的占比为47.9%,其中占比最高的抗微生物药达到35.9%;使用金额排前10位的药品中有8种是国家基本药物,且有4种是抗微生物药;样本乡镇卫生院平均每张门诊处方的药品数为2.90种,抗菌药物处方占比平均为43.0%,平均单张处方的药品金额为33.12元。结论:该地区基层医疗卫生机构基本药物使用率低于政策要求;乡镇卫生院对自治区增补目录化学药与中成药品种利用率相差较大;抗微生物药使用金额占比较高;处方用药合理性仍有待提高。建议应保障该地区基本药物供应,适时调整自治区增补目录品种,重点控制几类主要药物的价格并加强对抗微生物药的用药监管,进一步提升处方医师的合理用药水平。
ABSTRACT: OBJECTIVE: To provide reference for promoting the rational use of essential drugs in primary medical institutions. METHODS: Twenty-three rural primary medical institutions (8 township health centers, 15 village clinics) were randomly selected from 2 poverty-stricken counties in Chongzuo city of Guangxi Zhuang Autonomous Region. The utilization of essential drugs was investigated and analyzed statistically through exporting hospital information system data and on-site interviews. RESULTS: The utilization rate of essential drugs in sample township health centers was 72.4%, and the amount of essential drugs accounted for 78.3%. The utilization rate of variety from National List of Essential Drug was 36.9%, which in the Autonomous Regions Essential Drug List Supplement was 47.2% (utilization rate of chemical drugs was 53.9%, and that of Chinese patent drugs was 39.7%). The utilization rate of essential drugs in sample village clinics was 64.4%; utilization rate of variety from National List of Essential Drug was 18.3%, which in the Autonomous Regions Essential Drug List Supplement was 10.5%. The amount of 5 major categories accounted for 47.9% of total amount of chemical agents, among which that of antimicrobial agents took up the highest proportion, being 35.9%. Among top 10 drugs in the list of amount, there were 8 national essential drugs and 4 antimicrobial agents. There were 2.90 kinds of drugs in each outpatient prescription averagely in sample township health centers; the average proportion of antibiotic prescription was 43.0%; the cost of each prescription was 33.12 yuan in average. CONCLUSIONS: The utilization rate of essential drugs in primary medical institutions is lower than the requirements of policy. There are great difference in utilization rate between chemical agents and Chinese patent drugs of township hospital in Autonomous Regions Essential Drug List Supplement. The cost proportion of antimicrobial agents is high. The rationality of prescription drug use still needs to be improved. It is suggested to guarantee essential drugs supply, adjust Autonomous Regions Essential Drug List Supplement in time, control the price of main categories and strengthen antimicrobial agent use monitoring so as to further promote rational drug use.
期刊: 2018年第29卷第10期
作者: 王文杰,李琛,张欲晓,毛宗福,崔丹
AUTHORS: WANG Wenjie,LI Chen,ZHANG Yuxiao,MAO Zongfu,CUI Dan
关键字: 贫困地区;农村;基层医疗卫生机构;基本药物;使用情况;调查
KEYWORDS: Porerty-stricken area; Countryside; Primary medical institutions; Essential drug; Utilization; Investigation
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