摘要
Abstract
Objective To investigate the effect of the implementation of the national essential drug system on the drug expense and structure of drug use in the hospital. Methods The data of average medical expense per patient,average drug expense per patients, drug proportion and individual self-paid ratio before and after the implementation of the national essential drug system were investigat-ed and performed the comparative analysis. Results Compared with before the implementation of the national essential drug system,the average medical expense per outpatient and inpatient was dropped by 5. 86% and 5. 39% respectively,the average drug expense per outpatient and inpatient was dropped by 6. 32% and 6. 93% respectively,the difference between before and after treatment was statisti-cally significant ( P ﹤ 0. 05 ) . The drug proportion of outpatient and inpatient was dropped by 0. 56% and 0. 73% respectively,but the diffenence between before and after treatment had no statistical significance;the total individual self-paid ratio per outpatient and inpa-tient was dropped by 1. 76% and 1. 69% respectively,the drug individual self-paid ratio per outpatient and inpatient was dropped by 1. 72% and 1. 84% respectively,the difference between before and after treatment was statistically significant ( P ﹤ 0. 05 ) ,and the con-stituent ratio of cheap drugs sales amount accounting for the whole drugs sales amount was significantly increased ( P ﹤ 0. 05 ) . But the use amount of essential drugs had no obvious increase. Conclusion The implementation of the national essential drug system effectively controls the drug expense and relieves the situation of“high cost of getting medical service”;but the essential drugs have not been used widely in the hospital. It is suggested to strengthen the promotion of the essential drugs as well as the hospital management and assessment,and standardize the prescription behavior of medical staff for promoting rational drug use.关键词
基本药物制度/药品费用/用药结构Key words
national essential drug system/drug expense/structure of drug use分类
医药卫生
