中国卫生资源2016，Vol.19Issue(3)：167-171,5.DOI:10.13688/j.cnki.chr.2016.15402
上海市慢性病门诊用药现状调查：以高血压、糖尿病为例
Research on medicine usage of chronic diseases in Shanghai:from outpatients with hypertension and diabetes
摘要
Abstract
Objective:To comparatively analyze the rationality and diversity of outpatient prescription behavior among medical institutions at all levels,and to explore the influencing factors on storing up and using drugs in community health service centers where chronic disease patients get initial visiting. Methods:Based on cluster sampling,medical prescription of hypertension and diabetes in May and November of 2014 were used to analyze the rationality of prescription. Anatomical therapeutic chemical and defined daily dose(ATC/DDD)was used to analyze drug utilization. Results:The prescription charges for outpatients with hypertension or diabetes in secondary and tertiary medical institutions were significantly higher than that in community health service centers. Patients with hypertension and diabetes got medicine mostly from community health service centers. There was a slight difference among drug category between community health service centers and other medical institutions. Medical institutions had poor consistency on purchase of hypertension and diabetes drugs. Conclusion:The fundamental method to alleviate or solve the phenomenon of “hard to get related medicine in community health service centers”is to keep consistency among community health service centers,secondary medical institutions and tertiary medical institutions. It is recommended to open the range of chronic disease medicine in the communities appropriately and the control line of health insurance as well as prescription duration.关键词
合理用药/高血压/糖尿病/慢性病/处方分析Key words
rational drug use/hypertension/diabetes/chronic disease/prescription analysis分类
医药卫生引用本文复制引用
何江江,杨燕,吴文辉,朱晶,戴秋霞,蒋虹丽,王燕芳,胡玲玲,汤庆伟..上海市慢性病门诊用药现状调查：以高血压、糖尿病为例[J].中国卫生资源,2016,19(3):167-171,5.基金项目
美国中华医学基金会卫生体系研究与政策转化合作项目（CMB-CP 14-190）；上海市卫生和计划生育委员会定向委托课题 （）
