国家基本药物制度对广西乡镇卫生院门诊用药的影响研究  

Impact of Implementing National Essential Drugs System on Medication in Township Health Centers of Guangxi

作　　者：邹榕[1] 罗红叶[1] 黎燕宁[1] 胡振[1] 冯启明[1] 

机构地区：[1]广西医科大学卫生事业管理系,广西壮族自治区南宁市530021

出　　处：《中国全科医学》2012年第13期1451-1453,共3页Chinese General Practice

摘　　要：目的了解广西第一批实施国家基本药物制度的其中10个样本县所辖政府办乡镇卫生院实施国家基本药物制度前后的门诊处方用药变化情况。方法在10个样本县中按照系统抽样方法抽取政府办乡镇卫生院实施基本药物制度前后的门诊处方,分别抽取2009年和2010年3月、7月和11月第一个周一的处方各20张,分析实施国家基本药物制度前后乡镇卫生院处方用药数量、处方金额、抗生素和注射给药的变化情况。结果实施国家基本药物制度后乡镇卫生院的平均处方费用和单张费用100元及以上的大处方数量降低,处方用药品种数和5种及以上药品联用处方比例下降,使用基本药物的处方数量增加,使用抗生素的单张门诊处方降低,两种及以上联用抗生素处方比例下降,注射给药的门诊处方比例下降。结论实施国家基本药物制度后,乡镇卫生院门诊药费虚高的情况得到控制,基本药物使用得到普及,开"大处方"情况有所改善,但是在规范用药上作用不明显,政府仍需加大力度做好规范基层用药的工作。Objective To analyze and evaluate the changes of prescriptions in outpatient departments in township healthcare centers of Guangxi before and after implementing the national essential drugs system. Methods The systematic sampling method was taken to chose 20 prescriptions of the first Mondays of March,July and November in 2009 and 2010 from each ofthe township healthcare centers of the 10 sample counties of Guangxi Province before and after implementing the national essential drugs system.The changes before and after the implantation of the system were investigated about the quantity of drugs and sum of money for a prescription,use of antibiotics and injections. Results After the implantation of the national essential drugs system,the average money of a single prescription was decreased,and the number of prescriptions whose rice was expensive more than RMB 100 yuan was also reduced.The sorts of drugs and the percentage of,while the amount of applying essential drugs went up.The number of prescriptions for antibiotics and the percentage of prescriptions in which two or more drugs were in combination used went down,and the percentage of injections was reduced. Conclusion The implantation of national essential drugs system makes the artificially high drug prices down,the use of essential drugs popular,and the condition of ＂big prescription＂ reduced.Nevertheless,the standardized drug utilization at the grassroots should be further enhanced by the government in view of its unsatisfactory condition now.

关 键 词：国家基本药物制度 乡镇卫生院 门诊用药 

分 类 号：R197[医药卫生—卫生事业管理]