基于国家药物政策的医院合理用药研究探讨  

The Study on Rational Use of Drugs Based on National Medicines Policy in Hospital

作　　者：汪邯郸[1] 辛立[1] 

机构地区：[1]北京大学深圳医院,广东深圳518036

出　　处：《中国医学创新》2015年第17期116-118,共3页Medical Innovation of China

基　　金：2013年深圳市医疗卫生科研项目(201303028)

摘　　要：目的:比较一系列医药卫生政策实施前后基本药物和抗菌药物临床使用情况,评价其对医疗机构合理用药的影响。方法:选取某医院门急诊处方和出院病历,将2011年作为政策实施前组,2012年作为实施1阶段组,2013年作为实施2阶段组,进行实施前后的对照研究,考察政策实施的有效性和可行性。结果:实施2阶段基本药物门诊处方使用率为51%,基本药物金额使用率为33%。实施2阶段抗菌药物使用强度为38.67%,较实施前的76.06%明显下降,两组比较差异有统计学意义(P<0.01);Ⅰ类切口手术预防使用抗菌药物比例也有明显下降,两组比较差异有统计学意义(P<0.01)。结论:医药卫生政策和整治干预措施的出台对促进合理用药产生一定影响。Objective：To evaluate the impact of medicines policy on rational use of drugs by comparing the essential drugs and antibiotics.Method：A total of prescriptions in outpatients and emergency departments of hospital records,2011 was selected as a policy implementation group,2012 as part of the implementation of phase 1 group,2013 as part of the implementation of phase 2 group,before and after the implementation of the control study,the effectiveness and feasibility of the implementation of the policy were investigated.Result：The usage of prescriptions and essential drugs was 51% and 33% respectively.The implementation of phase 2 the intensity of use of antimicrobial agents for 38.67%,compared with the former of 73.06% were decreased significantly,the difference between the two groups had statistically significance（P〈0.05）.Type I incision surgery to prevent use of antibacterial drugs proportion had decreased significantly,the difference had statistically significance（P〈0.01）.Conclusion：Medicines policy and intervention measures have some effect on the promotion of rational drug use.

关 键 词：医药卫生政策 基本药物 抗菌药物 合理用药 指标 

分 类 号：R95[医药卫生—药学]