摘要
目的渊查成都市新津县2010年17家医疗卫生机构药品使用情况，了解药品使用结构，评什基层医疗机构药品使用合理性，为基层医疗机构药品配置的调整提供依据。方法收集2010年新津县17家医疗卫生机构药品使用数据信息。用Microsoft Excel2003分析门诊与住院的药品品种与剂型、销售金额、抗微生物类药物类型与构成。结果2010年新津县17家医疗卫生机构药品使用情况如下：①县级、乡院、社区门诊药品品种分别为1507、1356、695种，其中西药和中药口服制剂种数约占门诊药品总数的45％，销售金额各占门诊药物销售金额的46％～73％。住院分别为1271、1023、317种，其中西药口服制剂和注射制剂约占住院药品总数的37％～61％，且西药注射制剂占销售金额的75％以上。②新津县社区、乡院前30位药品其药品销售金额比在门诊约占50％，而在住院药品中均占85％以上。③药品使用金额前20位药品中，抗生素占15位（占新津县总药品费用的26．5％）；销售金额前10位抗生素以头孢类为主，分别占门诊及住院抗生素销售总额的59．36％和66．27％。结论①新津县各级医疗卫生机构（县级、乡院和社区）门诊均以西药口服制剂、中药口服制剂为主。住院以西药口服制剂、西药注射剂为主。②销售金额排名前30种的药物花费大，应重点监控其合理使用情况。③新津县抗微生物类药品的配置品种数、使用构成比和金额在县级、乡院和卒十区均位列第一，可能存在抗生素使用不合理。
Objective To investigate the drug utilization in primary healthcare system of Xinjin county of Chengdu in 2010. Methods The drug utilization information in regional health information platform of Xinjin county were col- lected. Microsoft Excel 2003 software was used to describe the types, forms and expenditure of medicines, particularly the use of antibiotics among outpatients and inpatients. Results The drug utilization of 17 hospitals in Xinjin county in 2010 was summarized below： a） there were 1 507, 1 356 and 695 kinds of drugs dispended for outpatients, and 1 271, 1 023 and 317 for inpatients in county-level hospitals （CLH）, township hospitals （TH） and community healthcare centre （CHC）, respectively. Among which, oral biomedicine and traditional Chinese medicine （TCM） accounted for about 45% of total types, and 46% to 73% of total drug expenditure among outpatients; while oral biomedicine and the iniection ac- counted 37% to 61% of total types of medicines dispended to inpatients, particularly injection of biomedicine accounting for over 75% of total drug expenditure among inpatients, b） The expenditure of top 30 drugs in primary care hospitals accounted for 50% of total drug expenditure among outpatients and over 85% among inpatients, c） Among the top 20 drugs, there were 15 antibiotics, which accounted for 26.5% of total drug expenditure in Xinjin county. The top 10 anti- biotics were mainly cephalosporin, accounting for 59.36% and 66.27% of total antibiotics expenditure among outpatients and inpatients respectively. Conclusion a） The main forms of medicines dispended to outpatients are oral biomedicine and TCM, while oral agents and injection of biomedicine are the majority of medicines used for inpatients, b） The top 30 drugs should be monitored for rational use of drugs considering the huge expenditure. And c） the types, proportion of use and expenses of antimicrobial drugs ranked the first in CLH, CHC and TH, which may imply irrational use of antibiotics.
出处
《中国循证医学杂志》
CSCD
2014年第3期255-259,共5页
Chinese Journal of Evidence-based Medicine
基金
成都市卫生局资助项目“新津县公益性医疗卫生服务体系改革绩效评估”(编号:H1106077)
