摘要
目的:分析首都医科大学附属北京朝阳医院(以下简称我院)医联体医疗机构心血管系统基本药物用药结构特点及上下级医疗机构在药品使用上的衔接性,为基本药物制度和分级诊疗实施提供参考。方法:比对2018年版《国家基本药物目录》与3家医疗机构药品目录,并计算各医疗机构心血管系统基本药物在所有心血管系统药物中的用量占比及用药金额占比。结果:二、三级及基层医疗机构配备心血管系统基本药物的品种分别为36个(75.00%)、35个(72. 92%)和25个(52.08%),品规分别为43个(39.45%)、46个(42.20%)和33个(30.28%),其中口服类心血管基本药物在各级医疗机构的配备相似。基层医疗机构心血管系统基本药物使用量占比及使用金额占比略高于二级及三级医疗机构,但差异不明显。结论:我院医联体内医疗机构心血管系统用药有较好的衔接性,建议通过完善公立医院补偿机制、改革医保支付方式、建立有效的使用激励和考核机制等调动医疗机构的主动性,提高医疗机构基本药物使用、促进分级诊疗实施。
Objective: The structural characteristics and coherence of the use of cardiovascular essential drugs in medical alliance of Beijing Chao-Yang Hospital, Capital Medical University were analyzed, to provide reference for the implementation of the essential medicine system and hierarchical medication. Methods: Compared the National Essential Drug List(2018 edition) and the drug lists of three medical institutions, and calculated the amount and sales proportion of cardiovascular essential drugs in all cardiovascular drugs. Results : The types of essential drugs of cardiovascular system in secondary, tertiary and primary medical institutions were 36( 75. 00%),35( 72. 92%) and 25(52.08%) respectively, and the specifications were 43( 39. 45%), 46(42. 20%) and 33(30. 28%) respectively. The allocation of oral essential drugs for cardiovascular system was similar in all medical institutions. The proportion of essential drugs of cardiovascular system in primary medical institutions was slightly higher than that in tertiary and secondary medical institutions, but the difference was not significant. Conclusion: The medication of cardiovascular system in Chao-Yang medical association has a good coherence. Hierarchical medication has not fully realized. It is recommended to mobilize the enthusiasm of medical institutions by improving the compensation mechanism of public hospital, reforming the payment mode of medical insurance, and establishing an effective incentive and assessment mechanism, so as to improve the use of essential drugs and promote the implementation of hierarchical medication.
作者
周虹
苏晔
赵曼曼
韩凤昭
肖怀玉
李振知
ZHOU Hong;SU Ye;ZHAO Man-man;HAN Feng-zhao;XIAO Huai-yu;LI Zhen-zhi(Department of Pharmaceutical Affairs,Beijing Chao-Yang Hospital,Capital Medical University,beijing 100020,china;Department of Pharmacy,Beijing Huairou Hospital,Beijing Chao-Yang Hospital,Capital Medical University,beijing 101400,china)
出处
《临床药物治疗杂志》
2019年第2期55-58,共4页
Clinical Medication Journal
关键词
心血管系统基本药物
医联体
用药衔接性
分级诊疗
essential drugs of cardiovascular system
medical association
coherence of drug use
hierarchical medication
