摘要
目的:为基层医疗卫生机构实施国家基本药物制度和合理应用抗菌药物提供参考。方法:随机抽取合肥市45家基层医疗卫生机构,自2010年1月-2011年12月每月从每家医疗卫生机构总处方中抽取门诊处方30～40张,对门诊基本药物、抗菌药物使用情况进行统计、分析。结果:与2010年比较,2011年合肥市基层医疗卫生机构的门诊处方平均金额、用药品种数、抗菌药物使用率均有显著下降,基本药物使用比例和药品通用名使用比例均显著升高;乡镇卫生院门诊处方平均金额、用药品种数、抗菌药物使用率均显著高于城市社区卫生服务中心。结论:国家基本药物制度实施后,基层医疗卫生机构门诊处方用药更趋合理,但仍有必要加强对医护人员的宣教,进一步促进合理用药。
OBJECTIVE： To provide reference for implementation of National Essential Drug System（NEDS） and rational use of antimicrobial drugs. METHODS： 45 primary health institutions in Hefei city were selected from Jan. 2010 to Dec. 2011, and 30-40 outpatient prescriptions were analysized monthly, in order to investigate the applications of essential drugs to outpatients in pri- mary health institutions. RESULTS： Compared to 2010 in Hefei city, the average amount of outpatient prescription, the number of drugs and the percentage of antibiotics use in 2011 decreased significantly, and the proportions of essential drugs and generic name increased significantly, moreover, the amount of outpatient prescription, the number of drugs and the percentage of antibiotics use in township hospitals were significantly higher than in urban community health service centers. CONCLUSIONS： After the implementation of NEDS, the use of drugs in primary health institutions was more reasonable, however, more publicity and education need to be given to the medical staff.
出处
《中国药房》
CAS
CSCD
2013年第16期1450-1452,共3页
China Pharmacy
基金
安徽省年度重点科研项目(No.11070403037)
关键词
国家基本药物制度
基层医疗卫生机构
合理用药
National essential drug system
Primary health institutions
Rational use of drugs
