基于因子分析的基本药物制度实施效果研究

发布时间：2018-06-19 19:24

本文选题：基本药物制度 + 因子分析　；参考：《中国医院管理》2016年02期

【摘要】：目的对基本药物制度的实施效果进行综合分析和评价。方法运用因子分析方法探索影响基本药物实施效果的潜在评价结构维度,筛选关键评价指标。结果通过探索性因子分析方法提取了影响基药实施效果的3大公共因子:分别为药物使用合理性因子、基层医疗机构收入构成因子、居民疾病经济负担性因子。基本药物制度实施后,重庆市乡镇医院药物使用合理性指标有了较大的改善,抗生素的使用率明显下降,全部实现了WHO针对发展中国家推荐的最低使用标准。基药实施后药占比波动在32.12%~43.33%之间,财政投入在30.22%~35.16%之间。结论基药实施后,药物使用合理性因子有了明显改善,基层医疗机构收入结构因子也逐步趋近合理,居民可负担性因子改善幅度较小,建议进一步加大政策投入、完善相关费用控制措施以及医改监测指标。
[Abstract]:Objective to analyze and evaluate the effect of essential drugs system. Methods Factor analysis was used to explore the structural dimensions of potential evaluation affecting the implementation of essential drugs and to screen key evaluation indicators. Results by means of exploratory factor analysis, three common factors affecting the effect of base drug implementation were extracted: the rationality factor of drug use, the income component factor of primary medical institution, and the economic burden factor of residents' disease. After the implementation of the essential drug system, the rational index of drug use in Chongqing township hospitals has been greatly improved, and the utilization rate of antibiotics has decreased obviously. All of them have achieved the minimum standard recommended by WHO for developing countries. After the implementation of basic drugs, the proportion of drugs fluctuated between 32.12% and 43.33%, and the financial investment was between 30.22% and 35.16%. Conclusion after the implementation of basic drugs, the rational factors of drug use have been obviously improved, the income structure factors of primary medical institutions have gradually become more reasonable, and the improvement of affordability factor of residents is relatively small. It is suggested that the policy investment should be further increased. Improve related cost control measures and medical reform monitoring indicators.
【作者单位】：哈尔滨医科大学公共卫生学院;复旦大学卫生发展战略研究中心;
【基金】：国家自然科学基金(重点)资助项目(71333003);国家自然科学基金资助项目(71373062) 健康领域社会风险预测治理协同创新中心项目
【分类号】：R95

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