不同等级不同类型医疗卫生机构使用国家基本药物的考核标准研究  

Study on Assessment Criteria for the Utilization of National Essential Medicine in Different Types of Medi cal Institutions at Different Levels

作　　者：闫峻峰[1] 陈鸣[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3755-3758,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:为卫生行政部门制订不同等级不同类型的医疗卫生机构使用国家基本药物的考核标准提供参考。方法:抽取四川省(包括省直属和中央在川医疗卫生机构)不同等级的综合或专科医疗卫生机构共计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2009年3月-2011年2月的药品采购数据,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占比和完成考核指标等情况进行对比分析。结果:国家基本药物制度实施后,基本药物金额在样本机构全部药品中的占比均有所提升,平均增幅为12.67%。不同等级的医疗卫生机构实施前、后比较,等级越低的医疗卫生机构品种占比和金额占比的增幅越高。对于不同类型的医疗卫生机构,品种占比方面,中医类与妇幼类专科医疗卫生机构实施前、后比较差异均有统计学意义(P<0.01),而"其他"类专科医疗卫生机构差异无统计学意义(P>0.05);金额占比方面,中医类及"其他"类专科医疗卫生机构实施前、后比较差异均有统计学意义(P<0.01或P<0.05),而妇幼类专科医疗卫生机构实施前、后比较差异无统计学意义(P>0.05)。结论:基本药物品种占比与金额占比呈一定的正相关关系。卫生行政部门制订基本药物考核指标时,应适当提高基本药物品种占比的要求,而金额占比应与品种占比形成梯度,不能按相同比例考核;并应通过基本药物处方百分率、基本药物占处方用药品种的百分率等指标对医院科室和医师个人使用基本药物的情况进行考核、评价。OBJECTIVE： To provide reference for the formulation of assessment criteria for the utilization of national essential medicine system in grade medical institutions by public health administrative department. METHODS： A total of 80 diffrent level medical institutions and specialist medical institutions were collected from Sichuan province （including provincial and central medi- cal institutions in Sichuan province） as samples medical institutions. The data of medicine procurement were extracted from drugs procurement, distribution and regulatory platform database of Sichuan province non-grass-roots medical institutions during Mar. 2009-Fed. 2011; the varieties and amount of essential medicine, the execution of assessment index in sample institutions were ana- lyzed comparatively before and after the implementation of national essential medicine system. RESULTS ： After the implementation of national essential medicine system, the proportion of essential medicines in sample institutions was increased to some extent, in- creasing by 12.67% ; the lower the level of medical institution was, the higher the varieties and amount of essential medicine in- creased by. Before and after the implementation of the system, there was statistical significance in the varieties of essential medi- cines between TCM hospital and maternal and child health care hospital （P〈0.01） ; there was no statistical significance in other specialized medical institutions （P〉0.05）. There was statistical significance in the amount of essential medicines between TCM hos- pital and other specialist medical institutions （P〈0.01 or P〈0.05） ; there was no statistical significance in maternal and child health care hospitals （P〉0.05）. CONCLUSIONS： The varieties share of essential medicines is positively correlated with the amount share of them. To develop essential medicine assessment index, public health administrative departments should increase the varieties share of essential medicines appropriately, and form medicin

关 键 词：基本药物 四川省 等级 医疗卫生机构 考核标准 

分 类 号：R95[医药卫生—药学]