基于高校教职工特点的抗高血压药使用和人均负担分析  

Analysis of the Utilization and Per Capita Burden of Antihypertensive Drugs Based on the Characteristics of the University Teaching Staff

作　　者：董玉珍[1] 王辉[1] 勾旭[1] 方世平[2] 

机构地区：[1]武汉大学医院药剂科,武汉430072 [2]武汉大学中南医院药学部,武汉430071

出　　处：《中国药房》2015年第26期3631-3635,共5页China Pharmacy

摘　　要：目的:了解在封闭医疗环境下,高校教职工患高血压的比例与使用抗高血压药的规律性、合理性和可负担性。方法:采用实证研究和调研方法,收集2011-2014年武汉市平均日薪、武汉大学教职工总数及教职工中患高血压人数、抗高血压药金额/DDDs排序比值、药品的可负担性比值、相对平均可负担性等指标,评价该校教职工使用抗高血压药的价格合理性和可负担性。结果:2011-2014年,该校教职工高血压平均发病率为23.47%,比例逐年增高;抗高血压药的金额年增加幅度大于患者数量增加幅度;4年抗高血压药品的可负担比值>1的品种都是血管紧张素Ⅱ受体拮抗药(ARB),其他药品可负担比值均<1。结论:超过半数的药品价格高昂,使用ARB的患者负担较重,但整体看该校教职工使用抗高血压药的可负担性良好。OBJECTIVE：To understand the proportion of university faculty suffering from hypertension,and the regularity,rationality and affordability of antihypertensive drugs under closed medical environment. METHODS：Empirical research and research methods were adopted to collect indicators during 2011-2014,such as average daily wage in Wuhan,the total number of staff in Wuhan University,the number of staff with hypertension,antihypertensive drugs amount/DDDs ranking ratio,affordability ratio,relative average affordability, etc. The rationality and affordability of antihypertensive drug prices were evaluated. RESULTS： During2011-2014,the prevalence rate of hypertension in the staff were about 23%,and the proportion increased year by year;the annual increase of antihypertensive drug amount was larger than that of the number of patients;the type of antihypertensive drugs with affordability ratio 1 in 4 years was ARB varieties,and affordability ratio of other drugs was less than 1. CONCLUSIONS：More than half of drugs is high in price,that result in heavy burden of patients receiving ARB;on the whole,antihypertensive drugs are affordable of the teaching staff of Wuhan University.

关 键 词：高校 教职工 抗高血压药 药物使用 可负担性 

分 类 号：R972.4[医药卫生—药品] R969.3[医药卫生—药学]