军队合理医疗用药政策调整前后军人住院药品保障水平对比研究
投稿时间:2016-04-06  修订日期:2016-04-25  点此下载全文
引用本文:张华林,储藏,张晓东,杨樟卫,蒯丽萍.军队合理医疗用药政策调整前后军人住院药品保障水平对比研究[J].药学实践杂志,2016,34(3):283~288
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作者单位E-mail
张华林 第二军医大学, 上海 200433
解放军第251医院, 河北 张家口 075400 
 
储藏 解放军后勤保障部卫生局, 北京 100141  
张晓东 解放军后勤保障部卫生局, 北京 100141 xiaodongzh0902@sina.com 
杨樟卫 第二军医大学长海医院药学部, 上海 200433  
蒯丽萍 军事医学科学院, 北京 100850  
基金项目:十二五军队后勤科研计划面上项目(CWS12J106)
中文摘要:目的 评估部队医院2009年和2011年军人住院患者药品保障水平是否存在显著性差异并分析原因,为今后合理医疗政策的调整提供借鉴。方法 选取全军16家部队医院急性单纯性阑尾炎、冠状动脉粥样硬化性心脏病、慢性支气管炎和2型糖尿病4种疾病军人患者的药物治疗数据,运用统计学相关方法对2009年和2011年的药品保障水平相关指标进行对比研究。结果 16家医院的3748份病例显示,军人住院药品保障水平2009年和2011年在药品总费用、药品品种数、住院日均药费、主要治疗药物费用等较多指标上存在显著性差异,2011年高于2009年。结论 本次课题全面直观地展示了军人患者在2009年和2011年中4种军队常见多发病的用药详情,反映了2011年和2009年相比,某些疾病的用药水平显著提高;建议今后建立一种长期、固化的政策监管与评价手段,科学评价研究,为今后的药物政策调整提供有力证据。
中文关键词:军人患者  药品保障  急性阑尾炎  冠心病  慢性支气管炎  2型糖尿病  显著性差异  主要治疗药物
 
Comparison of the medicine treatment level of military in patients in military hospital before and after the adjustment of the policy of military reasonable medicine treatment
Abstract:Objective To assess differences between the medicine treatment level of military inpatients in military hospital in 2009 and 2011, provide references for reasonable adjustments of health policy in future. Methods Medicine treatment data from acute simple appendicitis, coronary heart disease, chronic bronchitis and type 2 diabetes from 16 military hospitals were excavated and analyzed by statistical methods to provide a comparative study of the medicine treatment level in 2009 and 2011. Results 3748 cases from 16 hospitals showed the significant difference in the level of the medicine treatment in 2009 and 2011, such as medicine cost, medicine varieties, primary medicine costs, hospital daily medication cost, and the date in 2011 is higher than 2009. Conclusion It was showed that the medicine treatment level in four common multiple diseases in the military in 2009 and 2011 was changed. A long-term stability mechanism should be established for the evaluation of military medicine support level, which could provide strong evidence for future medicine policy adjustment.
keywords:military patients  meidicine support  acute appendicitis  coronary heart disease  chronic bronchitis  type 2 diabetes  significant differences  primary medicine
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