六城市社区卫生服务机构用药情况及相关政策影响因素分析  

Use of drugs in community health service institutions of 6 cities in China and its related policy-influencing factors

作　　者：杜甲珺[1] 李鹏[2] 许宗余[3] 

机构地区：[1]解放军总医院医学信息室,北京100853 [2]首都儿科研究所卫生发展研究室,北京100021 [3]卫生部妇幼保健与社区卫生司,北京100044

出　　处：《军医进修学院学报》2012年第4期404-406,共3页Academic Journal of Pla Postgraduate Medical School

基　　金：卫生部全国社区卫生服务体系建设重点联系城市基线调查与常规监测项目(NPMO40)

摘　　要：目的分析南京、杭州、合肥、武汉、成都、西安六城市社区卫生机构用药情况及药品相关政策的影响。方法采用问卷调查方式对社区卫生服务机构用药情况以及药品相关政策实施情况进行调查,并进行多因素方差分析。结果六城市社区卫生服务机构的用药情况差异均具统计学意义(P<0.05)。社区卫生服务机构是否纳入医保定点机构以及是否开展医药分开或药房托管对合理用药无统计学差异。药品零差率/低差率销售制度对每百张处方用药总个数变化有统计学差异(P<0.05)。结论合理用药应受到各级卫生部门的重视,加大政策实施力度;加强社区卫生服务机构医师、药师合理用药培训,宣传合理用药常识。Objective To analyze the use of drugs in community health service（CHS） institutions of Nanjing,Hangzhou,Hefei,Wuhan,Chengdu,and Xi＇an in China and its related policy-influencing factors.Methods The use of drugs in CHS institutions of 6 cities in China and its related policy-influencing factors were investigated using questionnaires and then analyzed by multivariate variance analysis.Results A significant difference was found in the use of drugs among the CHS institutions of 6 cities in China（P0.05）.Whether the CHS institutions were included in the designated health care organizations or they implemented the policy of medical separation or pharmacy support had no significant influence on the rational use of drugs.Drug zero slip/low slip marketing system had a significant influence on the total number of drugs per hundred prescriptions（P0.05）.Conclusion Health departments at different levels should pay attention to the rational use of drugs,increase the policy implementation scale,strengthen the training of physicians and pharmacists in CHS institutions,and spread the common knowledge about rational use of drugs.

关 键 词：社区卫生服务机构 合理用药 医业管理 

分 类 号：R95[医药卫生—药学]