安徽农村地区村级医疗机构处方费用分析  

Analyzing the prescription cost in village clinics of rural Anhui

作　　者：许静[1] 方桂霞[1] 江启成[1] 

机构地区：[1]安徽医科大学卫生管理学院,安徽合肥230032

出　　处：《中国卫生事业管理》2011年第1期25-27,共3页Chinese Health Service Management

基　　金：安徽省国际科技合作资助项目(项目编号:06088025)

摘　　要：目的:通过分析农村地区村级医疗机构处方费用,为降低处方费用提供政策依据。方法:通过现场机构调查法收集资料,对安徽省霍山县村级医疗机构12133条处方记录进行统计分析。结果:平均处方费用为28.19元,处方费用中位数为22.00元;应用抗生素、激素和抗病毒类药物时,使用注射特别是抗生素注射时,处方费用明显增加(P<0.001);不同学历、工作年限的乡村医生处方费用差异有统计学意义(P<0.001);前五位常见系统疾病之间处方费用差异有统计学意义(P<0.001)。结论:项目地区农村居民疾病经济负担较重,存在不合理用药现象,应采取针对性措施。Objective：To analyze the prescription cost in village clinics in rural China, and provide policy references to decrease prescription cost. Methods：Data was collected by the method of field organization investigation. And 12133 cases of prescription record in village clinics of Huoshan county were statistically analyzed. Results ：The mean of prescription cost was 28.19 CNY, and the median was 22.00 CNY. The prescription cost increased significantly when antibiotics, hormones, antiviral drugs, and injections ,especially antibiotics injection were used （ P 〈 0.001 ）. There had significant differences of prescription cost among village doctors with different education and work experiences （ P 〈 0.001 ）. And there also had significant differences of prescription cost among first five common diseases （ P 〈 0. 001）. Conclusion ： There had heavy disease-causing economic burden for the rural residents in the project areas. And unreasonable prescriptions existed there. Some countermeasures need to be put forward to solve these problems.

关 键 词：村级医疗机构 合理用药 处方费用 

分 类 号：R197.1[医药卫生—卫生事业管理]