| 淳安县实施基本药物制度对社区卫生服务中心合理用药的影响 |
| 投稿时间：2013-09-25 修订日期：2014-09-26 点此下载全文 |
| 引用本文：汪婕芳,余志勇,叶佐武.淳安县实施基本药物制度对社区卫生服务中心合理用药的影响[J].药学实践杂志,2015,33(3):275~277,286 |
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| 中文摘要:目的 研究淳安县基本药物制度实施对社区卫生服务中心合理用药的影响。 方法 以浙江省淳安县实施基本药物制度的汾口镇社区卫生服务中心作为干预组,实施前作为对照组,通过现场处方调查,分析实施基本药物制度是否促进了合理用药。 结果 单张处方药品数由2.68个下降为2.23个(P<0.05),差异有统计学意义;单张处方平均费用由42.11元下降为37.75元(P<0.05),基本药物平均使用率由79.90%上升为89.81%(P<0.05),3项指标均有统计学差异;注射处方比例由37.87%下降为28.50%(P>0.05),抗生素处方比例由36.52%下降为24.46%(P>0.05),两个指标没有统计学差异。 结论 淳安县实施基本药物制度对社区卫生服务中心单张处方药品数及单张处方平均费用有所下降而基本药物平均使用率相应提高,但抗生素,注射处方比例并未得到有效改善,属于不合理用药范畴,虽已颁布并实施国家基本药物使用手册,但缺少有效的促进合理用药措施。 |
| 中文关键词:基本药物制度 社区卫生服务中心 合理用药 |
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| Impact of essential medicine system on rational drug use in Community Health Care Center of Chun'an District |
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| Abstract:Objective To study the impact of essential medicine system on rational drug use in Community Health Care Center of Chun'an District. Methods Essential drug system in Community Health Care Center of Chun'an District in Zhejiang Province was taken as the intervention group, and before implementation was taken as contrast group, the essential medicin system was analyzed whether it was or not to promote the rational use of drugs by prescription surveys. Results Average number of drugs per encounter was lower from 2.68 to 2.23(P<0.05), average expenditure per encounter was lower from 42.11 yuan to 37.75 yuan(P<0.05), the use of essential medicines was riser from 79.90% to 89.81%(P<0.05), the three indexes had significant difference, the percentage of injections per encounter was lower from 37.87% to 28.50%(P>0.05), the percentage of antibiotics per encounter was lower from 36.52% to 24.46%(P>0.05), the two indexes had no significant difference. Conclusion After execution of essential medicine system in Community Health Care Center of Chun'an District, average number of drugs and average expenditure per encounter were lower and the use of essential medicines was riser, but the percentage of antibiotics and percentage of injections were not been improved, belonged to irrational category, although there had essential medicines manual, but effective promoting measures still was deficient. |
| keywords:essential medicine system community health care center rational use of drugs |
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