摘要
目的了解北京市社区卫生服务机构就诊的常见病种类及药物使用情况。方法采用典型调查方法,对在北京市某社区卫生服务机构就诊患者的电子病历档案进行疾病和药物使用分析;根据疾病就诊的人次统计前20种常见病,并根据药物使用人次统计前20种常见病的社区卫生服务药品使用比例。结果在社区卫生服务机构就诊的患者中60岁及以上者占57.45%;前20种常见病的就诊人次数占社区总就诊人次数的87.88%,就诊人次数最多的前3位疾病是高血压、急性上呼吸道感染和心血管疾病,分别为19.24%、16.96%和9.37%;前20种常见病社区卫生服务药品的使用率为87.28%,社区卫生服务药品使用率最高的是急性上呼吸道感染为95.87%,最低的是失眠为27.59%。结论社区卫生服务机构就诊的常见病主要是慢性疾病和呼吸道疾病;北京市社区卫生服务药品目录在一定程度上能够满足常见病的需要,可适当增加某些疾病的药品种类。
Objective To study categories of common diseases and medicines used among Patients in community health service institutions in Beijing.Methods Typical investigation was conducted to analyze the categories of common diseases and medicines used among patients with electronic medical records in a community health service institution(CHS).The first twenty common diseases were ranked by visiting person-times of diseases,and the proportion of drugs used for the first twenty common diseases was analyzed according to person-times of drugs used.Results Among the patients seeking medical care at the CHS 57.45% were more than 60 years.The percentage of person-times of the first twenty common diseases was 87.88%,and the first three diseases were hypertension accounting for 19.24%,cute upper respiratory infection accounting for 16.96% and cardiovascular diseases accounting for 9.37%.The percentage of drugs used for the first twenty disease at the CHS was 87.28%,and the highest percentage was 95.87% for acute upper respiratory infection and the lowest one was 27.59% a for insomnia.Conclusion The most common diseases at community health service institution are chronic diseases and respiratory illness.The categories of drugs in medicinal list of CHS institutions in Beijing can meet the demands for common diseases to a certain extent;however some kinds of drugs may be added appropriately.
出处
《中国全科医学》
CAS
CSCD
北大核心
2009年第11期1024-1027,共4页
Chinese General Practice
基金
国家食品药品监督管理局软课题项目资助
关键词
社区卫生服务机构
常见病
药品目录
Community health service institutions
Common diseases
Medicine list
