实施国家基本药物制度对社区居民高血压管理影响的调查分析  

Investigation and Analysis of the Effects of the Implementation of National Essential Medicine System on the Management of Hypertension in Community Residents

作　　者：刘华强[1] 李志平[1] 王少华[1] 

机构地区：[1]青岛市市立医院药学部,山东青岛266011

出　　处：《中国药房》2014年第4期306-309,共4页China Pharmacy

基　　金：青岛市科技发展指导计划项目(No.KZJ-8)

摘　　要：目的:了解国家基本药物制度实施后社区居民高血压管理情况,为进一步推广国家基本药物制度、完善社区居民高血压管理、减轻高血压患者的用药负担提供参考。方法:以基层医疗卫生机构工作人员、社区(镇、村)居民为对象,就国家基本药物制度和高血压相关知识了解情况、降压药品费用、高血压管理需求等进行问卷调查,并对调查结果进行统计分析。结果:受访的全部基层医疗卫生机构工作人员和83.75%的社区居民了解国家基本药物制度;受访的社区高血压患者国家基本药物制度实施后的人均降压药品费用下降了36.76%;社区居民高血压诊断标准的掌握率提高了24.50%,且受访的社区居民对高血压相关危险因素更加了解;受访的社区高血压患者用药依从性提高;受访者的高血压管理需求有所增加;受访者也反映存在国家基本药物目录中降压药物品种少等问题。结论:国家基本药物制度实施有利于促进社区居民高血压管理的完善,应进一步加强国家基本药物制度和高血压知识的公众教育,以利2012年版《国家基本药物目录》的顺利实施并为社区居民高血压治疗带来更大的受益。OBJECTIVE： To investigate the management of hypertension in community residents after the implementation of national essential medicine system, and to provide reference for further implementation national essential medicine system, the improvement of hypertension in community residents and the reduction of medication burden of them. METHODS： Using primary health care institution staff and community （town, village） residents as object, the understanding of national essential medicine system and hypertension-related knowledge, antihypertensive drugs cost and hypertension management needs were investigated and analyzed statistically. RESULTS： All the primary health care institution staff and 83.75% community residents understood the national essential medicine system. After the implementation of national essential medicine system, antihypertensive drug expense per capita of community residents with hypertension fell by 36.76%. Aware ness rate of diagnostic criteria of hypertension in community residents had increased by 24.50%. Great importance should be attached to the risk factors of hypertension. The medication compliance of residents with hypertension had been improved to some extent. There were few varieties of antihypertensive drug in national essential medicine system. CONCLUSIONS： The implementation of national essential medicine system is conducive to the management of hypertension in community residents. We should further strengthen national essential medicine system and hypertension knowledge of the public. The implementation of the system can bring more benefits for the treatment of hypertension in community residents.

关 键 词：基层医疗卫生机构 国家基本药物制度 高血压 社区管理 调查分析 

分 类 号：R95[医药卫生—药学]