实施国家基本药物制度对四川省不同地区不同等级医疗卫生机构基本药物使用的影响  

Influence of the Release of National Essential Medicine System on the Use of Essential Medicine in Grade Medical Institutions from Different Region of Sichuan Province

作　　者：陈鸣[1] 闫峻峰[1] 童荣生[1] 陈岷[1] 江涛[2] 程静 

机构地区：[1]四川省医学科学院/四川省人民医院药学部,成都610072 [2]四川省卫生厅基本药物制度处,成都610041 [3]四川省基本药物采购服务中心,成都610041

出　　处：《中国药房》2013年第40期3748-3751,共4页China Pharmacy

基　　金：四川省卫生厅科研基金资助项目(No.100545)

摘　　要：目的:为促进国家基本药物制度的实施提供参考。方法:选取四川省范围内的成都、川东、川南、川西、川北等不同地区不同等级的综合或专科医疗卫生机构(包括省直属医疗卫生机构)共计80家作为样本机构,从四川省非基层医疗机构药品采购、配送、监督平台数据库提取样本机构的药品采购数据,对国家基本药物制度实施前、后样本机构基本药物采购品种及金额情况进行统计分析。结果:国家基本药物制度实施后,样本机构基本药物的采购品种及金额均明显增加,品种和金额平均增幅分别达65.79%和101.31%,但成都地区的医疗卫生机构增幅低于其他地区;且"大型三级"医疗卫生机构金额增幅及其占比增幅均明显低于其他三级医疗卫生机构,差异均具有统计学意义(P<0.05或P<0.01)。结论:国家基本药物制度实施对四川省不同地区不同等级医疗卫生机构基本药物的使用均产生了明显影响,成效显著。OBJECTIVE： To provide reference for the implementation of essential medicine system in China. METHODS： 80 medical institutions from different regions including Chengdu, east, south, west and north of Sichuan province were extracted as sample medical institution, in which their drug procurement data were collected from drug purchasing, distribution, supervision platform database for non-grassroots medical institutions in Sichuan province; the varieties and amounts of essential medicines in sample medical institutions were comparatively analyzed before and after the implementation of national essential medicine system. RESULTS： After the release of national essential medicine system, the varieties and amount of essential medicines in grade medical institutions from different regions of Sichuan province were increased significantly, increasing by 65.79% and 101.31%, respective- ly; but the increase of them in medical institutions from Chengdu region were significantly lower than in other regions. The in- crease of the amount and its proportion in large scale three-level medical institutions was significantly lower than in other three-lev- el medical institutions; there was statistical significance （P〈0.05） or obvious statistical significance （P〈0.01）. CONCLUSIONS： The release of national essential medicine system has a discernible influence on the use of essential medicines in grade medical insti- tutions from different re^ions of Sichuan province.

关 键 词：基本药物 国家基本药物目录 等级 地区 医疗卫生机构 影响 

分 类 号：R95[医药卫生—药学]