湖北省基层医疗卫生机构基本药物销售现状调查  

Investigation of the Sales of Essential Medicines in Primary Health Care Institution,Hubei

作　　者：杨春艳[1,2] 向小曦[2] 张新平[2] 

机构地区：[1]湖北科技学院基础医学院,咸宁437100 [2]华中科技大学同济医学院医药卫生管理学院,武汉430030

出　　处：《医学与社会》2013年第2期37-39,共3页Medicine and Society

基　　金：湖北省教育厅科技项目成果;编号为B2010q133;湖北省教育厅人文社科项目成果;编号为2012q133

摘　　要：目的:了解湖北省基层医疗卫生机构基本药物销售现状,监测和评价基本药物制度实施效果。方法:湖北省83家基层卫生服务机构2011年1-7月基本药物的销售情况进行描述性分析。结果:基本药物销售金额比例为89.14%。头孢呋辛、头孢曲松钠、血塞通、葡萄糖注射液、氯化钠注射液、克林霉素、左氧氟沙星、血栓通等125种药品居销售前10位,抗生素和注射剂分别占前十位药品销售总额的53.17%和87.41%。结论:基层医疗机构可能存在抗生素和注射剂的过度使用,应切断医生收入与药品销售量之间的联系,减少供方诱导需求。应加强基层业务培训、用药知识宣传教育和用药监管,防止过度用药。Objective： To understand the sales of essential medicines in primary health care institutions, and monitor and evaluate of the effect of essential medicine system. Methods： The sales of essential medicines of 83 primary health care institutions in Hubei Province were surveyed. Results： The Proportion of sales value of essential medicines was 89.14%. The top 10 sales value were 125 kinds of medicines, such as cefuroxime, ceftriaxone, Xuesaitong glucose injection, and so on. The sales value of antibiotics and injections were 53.17% and 87.41% of the 125 medicines. Conclusion： The overuse of antibiotics and injections may exist in the investigated primary health care institutions. The connection between physicians＂ incomes and drug sales should be cut off to decrease Supply-induced Demand. Training, propagandas, educations and regulations in drug use should be strengthened in primary health care institutions to prevent drug abuse.

关 键 词：基本药物 基层医疗卫生机构 

分 类 号：R197.3[医药卫生—卫生事业管理]