摘要
了解我国西部农村药品收支及用药现状,对西部5省的40个贫困县、160个乡镇卫生院的药品收支和使用数据进行分析。研究发现,乡镇卫生院药品收入占总收入的80.35％;每处方平均费用为19.23元,每处方药品种数为4.04种;其中,抗生素类药物平均每处方为0.81种,激素为0.15种,处方肌注比例为21.97％,静注比例为20.10％;回归分析显示,处方费用与每处方药品种数、抗生素种数、肌注数量以及静注数量相关。提出大力推广并监督基本药物目录的执行、加强处方审核与管理、加强人员的培训,以及对农民大力宣传和引导等建议。
The purpose of this paper is to find out the situation of drug revenue and rational drug use in rural areas in western China, so as to put forward some reasonable policy suggestions. The sample covers 160 township hospitals in five western poverty provinces. It shows that most of the revenue of the township hospitals comes from drug revenue, and account for 80. 35% of the gross revenue. By investigating on 30 prescriptions of every township hospital, it is found that the average charge of every prescription is 19. 23 RMB, and there are 4. 04 kinds of drug in each prescription; In each prescription there are 0. 81 kind antibiotics, 0. 15 kind of hormone, and the use rate of intravenous drip is 20. 10% , the proportion oi using injection is 21. 97%. By using the method of multi - regression analysis, the result is that prescription expense is related with the kinds of drug, the amount of antibiotic, injection and intravenous drip. In order to deal with these problems, some suggestions are made to promote the rational use of drugs, which are drawing up proper essential drug list and strengthening the management and supervision of it, paying great attentionto the training to the medical personnel, pubbicizing and inducting the common sense about drug to the people in rural areas. Only by these ways, can service level be improved, and the medical burden of the people in rural areas in west China be lightened.
出处
《中国初级卫生保健》
2003年第10期14-16,共3页
Chinese Primary Health Care
