中国药房2018，Vol.29Issue(2)：254-258,5.DOI:10.6039/j.issn.1001-0408.2018.02.26
实施国家基本药物制度对我国基层医疗卫生机构激素类药物使用率影响的Meta分析
Meta-analysis of the Effects of National Essential Medicine System on the Utilization Rate of Hormone Drugs in Primary Medical Institutions
摘要
Abstract
OBJECTIVE:To evaluate the effects of the implementation of National Essential Medicine System on the utilization rate of hormone drugs in primary medical institutions in China systematically.METHODS:Retrieved from CJFD,Wanfang database and VIP,the literatures about the use of hormone drugs were collected before and after the implementation of National Essential Medicine System.Meta-analysis was performed by using Stata 13.0 software after utilization rate dam extraction and quality evaluation with Cochrane system evaluator manual 5.1.0.RESULTS:A total of 20 literatures were included.Results of Meta-analysis showed that utilization rate of hormone drugs after the implementation of National Essential Medicine System was significantly lower than before implementation,with statistical significance [RD =-0.03,95 ％ CI (-0.05,-0.02),P＜ 0.001].Results of subgroup Meta-analysis of utilization rate of hormone drugs in different areas before and after the implementation of National Essential Medicine System showed that the utilization rate of hormone drugs in eastern areas was significantly lower after the implementation of National Essential Medicine System than before [RD=-0.06,95％ CI(0.09,-0.03),P=0.001] with statistical significance.There was no statistical significance in the utilization rate of hormone drugs in middle area [RD=-0.02,95 ％ CI(0.06,0.02),P=0.235] or western area [RD=-0.01,95％ CI (-0.02,0),P=0.122] before and after the implementation of National Essential Medicine System.CONCLUSIONS:The implementation of National Essential Medicine System reduces the utilization of hormone drugs in primary medical institutions.The effect of the eastern area is more obvious than in middle and western area.关键词
国家基本药物制度/基层医疗卫生机构/激素类药物/使用率/Meta分析Key words
National Essential Medicine System/Primary medical institution/Hormone drug/Utilization rate/Meta-analysis分类
医药卫生引用本文复制引用
田燕,蒋易芬,胡健培,蒲川,张力..实施国家基本药物制度对我国基层医疗卫生机构激素类药物使用率影响的Meta分析[J].中国药房,2018,29(2):254-258,5.基金项目
重庆市利用世行贷款统筹城乡发展与改革项目(No.渝卫函[2012]265号-CHSR2) （No.渝卫函[2012]265号-CHSR2）
