2013-2014年上半年北京地区20家医疗卫生机构基本药物使用分析

发布时间：2018-06-27 10:33

本文选题：北京地区 + 医疗卫生机构　；参考：《中国药房》2015年24期

【摘要】：目的:为促进基本药物的合理使用和进一步贯彻落实国家基本药物制度提供参考。方法:利用"医院处方分析合作项目"收集的北京地区20家样本医疗卫生机构门急诊及病房基本药物(化学药品和生物制品)使用相关数据(包括品种数、处方金额、处方科室等),运用Excel和Access软件进行统计分析。结果:2013-2014年上半年,北京地区医疗卫生机构抽样数据中纳入《国家基本药物目录》(2012年版)或《北京市基本药物(补充目录)》(2012年版)的基本药物品种处方金额占全部药品总处方金额的比率(以下简称基药使用比率)较低,且总体呈现小幅下降趋势。二、三级医院基药使用比率均未达到原卫生部要求。各科室基药使用比率差别较大,影像科的基药使用比率最高为100%,化疗科最低为4.04%;各类药品的基药使用比率也存在很大差异,磺胺类药品等5类药品基药使用比率为100%,而有16类药品的基药使用比率不足0.1%。结论:2013-2014年上半年北京地区医疗卫生机构基药使用比率较低,且在各科室、各类药品间基药使用比率存在较大差异,建议从改变医师处方习惯、加强基药政策宣传和优化各科室基药使用等方面着手,以进一步提高基本药物的使用比率,使其更好地惠及广大患者。
[Abstract]:Objective: to provide a reference for the rational use of essential drugs and the implementation of the national essential drug system. Methods: 20 samples of outpatient, emergency and ward essential drugs (chemical and biological products) were collected from 20 medical institutions in Beijing (including the number of varieties, the amount of prescriptions), and the data collected by the "Hospital prescription Analysis Cooperation Project". Prescription department, etc.), using Excel and Access software for statistical analysis. Results: in the first half of 2013-2014, The amount of essential drugs prescribed by the national essential drugs catalogue (2012 edition) or Beijing essential drugs (supplementary catalogue) (2012 edition) included in the sample data of the medical and health institutions in the Beijing area accounted for the total prescribed amount of the total drug prescriptions The ratio (hereinafter referred to as the base drug use ratio) is lower, And overall showed a small downward trend. Second, the rate of basic drug use in tertiary hospitals did not meet the requirements of the original Ministry of Health. The ratio of basic drug use in the imaging department is the highest, and the lowest in the chemotherapy department is 4.04. There are also great differences in the basic drug use rates of all kinds of drugs. The base drug use ratio of 5 kinds of drugs such as sulfanilamide was 100, while that of 16 kinds of drugs was less than 0.1. Conclusion in the first half of 2013-2014, the rate of basic drug use in Beijing medical and health institutions is relatively low, and there are great differences in the rates of basic drug use among different departments. It is suggested that the prescription habits of doctors should be changed. In order to further improve the use rate of essential drugs and to benefit patients better, we should strengthen the propaganda of basic drugs policy and optimize the use of basic drugs in various departments.
【作者单位】：沈阳药科大学工商管理学院;北京医院;北京普瑞快思医药咨询有限公司;
【分类号】：R95

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