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上海市实施国家基本药物制度对社区卫生服务中心合理用药的影响

罗力 王晓栋 李婉莹 李强 邵月琴 沈宏 陈海乐 周奕男 张崖冰 纽小庆

中国药房2013,Vol.24Issue(4):289-291,3.
中国药房2013,Vol.24Issue(4):289-291,3.DOI:10.6039/j.issn.1001-0408.2013.04.01

上海市实施国家基本药物制度对社区卫生服务中心合理用药的影响

Effects of the Implementation of National Essential Drug System on Rational Use of Drugs in Community Health Service Center from Shanghai City

罗力 1王晓栋 2李婉莹 1李强 3邵月琴 3沈宏 3陈海乐 1周奕男 1张崖冰 4纽小庆2

作者信息

  • 1. 复旦大学公共卫生学院/教育部公共卫生安全重点实验室,上海200032
  • 2. 上海市静安区老年医院,上海200040
  • 3. 上海市嘉定区初级卫生保健中心,上海201805
  • 4. 独立研究者,上海 200000
  • 折叠

摘要

Abstract

OBJECTIVE: To evaluate the effect of the implementation of national essential drug system on rational use of drugs in community health service centers from Shanghai area. METHODS: 50 prescriptions had been randomly sampled every month from 6 sampling institutions during last six months of 2010 and 2011. A total of 3 600 prescriptions were collected. 6 indicators had been calculated and compared, such as drug cost per prescription, drug types per prescription, amount of drugs per prescription, percentage of antibiotics, percentage of hormone and percentage of injection. RESULTS: The value of 6 indicators decreased after the implementation of national essential drug system; amount of drugs per prescription in urban sampling institutions, drug cost per prescription, amount of drug per prescription, percentage of antibiotics and percentage of injection in rural sampling institutions were all decreased; there were statistical significances(P<0.05), compared with before the implementation of the system. CONCLUSION : National essential drug system plays a role in rational use of drugs in community health service centers; the implementation of national essential drug system mainly promote rational drug use of rural community health service centers, because drug use of urban centers is already reasonable before that.

关键词

基本药物/社区卫生服务中心/合理用药/上海/城市/农村

Key words

Essential drugs/Community health service center/Rational drug use/Shanghai/Urban/Rural

分类

医药卫生

引用本文复制引用

罗力,王晓栋,李婉莹,李强,邵月琴,沈宏,陈海乐,周奕男,张崖冰,纽小庆..上海市实施国家基本药物制度对社区卫生服务中心合理用药的影响[J].中国药房,2013,24(4):289-291,3.

基金项目

国家自然科学基金资助项目(No.71073027) (No.71073027)

"985工程"三期整体推进社会科学研究项目(No.2011SHKXZD020) (No.2011SHKXZD020)

教育部创新团队项目(No.IRT0912) (No.IRT0912)

教育部哲学社会科学研究重大课题攻关项目(No.07JZD0017) (No.07JZD0017)

2011-2012年度上海市卫生局卫生政策研究课题项目(No.2011HP005) (No.2011HP005)

中国药房

OACSCDCSTPCD

1001-0408

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