摘要
目的:为基层医疗机构继续推进实施基本药物制度提供参考。方法:收集松江区21家医疗机构基本药物的使用数据与信息,对用药品种数、用药数量、用药金额、医疗收入、药品收入、药占比、门急诊总人次、住院总床日数等数据,进行统计、分析和评价,并与《国家基本药物目录·基层医疗卫生机构配备使用部分》(2009版)进行比较。结果:《上海市松江区基本药物目录》为295个品种,覆盖疾病谱25类,剂型分类共16种;社区卫生服务中心使用基本药物品种为总药物品种的37%,二级医疗机构为33%;社区卫生服务中心基本药物的金额占用药总金额的18%,二级医疗机构为12%;社区卫生服务中心药占比为62%,二级医疗机构为43%。结论:《上海市松江区基本药物目录》品种及疾病谱与《国家基本药物目录·基层医疗卫生机构配备使用部分》(2009版)基本相符,但还需根据疾病谱、性价比逐步调整;对基本药物的使用比例还需提高,应进一步加强合理用药的监管、降低药占比。
OBJECTIVE：To provide reference for implementation of national essential drug system in primany helth care institations.METHODS：The information of application of essential drug in 21 medical institutions were collected and analyzed statistically in respect of category of drugs,amount of drugs,consumption sum,medical incomes,incomes from drugs,ratio of drugs,total number of persons and bed day in hospital,etc.Category of drugs,classification of drug and spectrum of disease were compared with those of National Essential Drugs List.RESULTS：There were 295 kinds of essential drug which include 16 kinds of dosage forms and 25 kinds of spectrum of disease.Category of essential drugs used in community medical institutions accounted for 37% of total category of drugs and that in secondary medical institutions accounted for 33%.Consumption sum of essential drug in community medical institutions accounted for 18% in total consumption sum and that in secondary medical institutions accounted for 12%.Ratio of drugs in community medical institutions were 62% and that in secondary medical institutions were 43%.CONCLUSION：Category of drugs and spectrum of disease are in line with that in National Essential Drugs List but should be adjusted according to spectrum of disease and ratio of performance and price.Proportion of essential drug should be increased and monitoring for drug use should be enhanced to reduce ratio of drugs.
出处
《中国药房》
CAS
CSCD
北大核心
2010年第20期1910-1912,共3页
China Pharmacy
关键词
基本药物
基层医疗机构
松江区
合理用药
Essential drug
Primary health care institutions
Songjiang district
Rational use of drug
