基本药物制度背景下山东省农村卫生服务机构门诊处方费用研究
发布时间：2018-12-21 09:05
【摘要】：目的了解基本药物制度背景下山东省农村卫生服务机构门诊处方费用。方法于2012年8月—2013年1月,采用多阶段分层抽样的方法,在山东省抽取乡镇卫生院37家、村卫生室81家。以纳入机构的2009年(基本药物制度实施前)门诊处方和2012年(基本药物制度实施后)门诊处方为一般资料,分析基本药物制度实施前后乡镇卫生院和村卫生室的门诊处方费用变化情况,以及不同情况患者的处方费用变化情况。结果共纳入基本药物制度实施前乡镇卫生院门诊处方1 293张,村卫生室门诊处方1 230张;基本药物制度实施后乡镇卫生院门诊处方1 569张,村卫生室门诊处方1 861张。基本药物制度实施后,乡镇卫生院的中位门诊处方费用"大处方"(药品种数5种)费用抗生素处方费用激素类处方费用、非激素类处方费用、注射剂处方费用非中成药处方费用低于实施前,差异有统计学意义(P0.05);而"贵处方"(费用100.0元)比例、非"大处方"费用、非抗生素处方费用、非注射剂处方费用中成药处方费用与实施前比较,差异无统计学意义(P0.05)。基本药物制度实施后,村卫生室的"贵处方"比例、中位门诊处方费用"大处方"费用非"大处方"费用、抗生素处方费用、非抗生素处方费用激素类处方费用、非激素类处方费用、注射剂处方费用非注射剂处方费用中成药处方费用、非中成药处方费用均低于实施前,差异有统计学意义(P0.05)。基本药物制度实施后,男性、女性、≤17岁、18~59岁、非慢性病乡镇卫生院患者的门诊处方费用低于实施前,差异有统计学意义(P0.05);而≥60岁、患慢性病乡镇卫生院患者的门诊处方费用与实施前比较,差异无统计学意义(P0.05)。男性、女性、≤17岁、18~59岁、≥60岁、患慢性病、非慢性病村卫生室患者的门诊处方费用均低于实施前,差异有统学意义(P0.05)。结论基本药物制度实施后,山东省农村医疗机构的门诊处方费用有所降低,村卫生室优于乡镇卫生院。应继续贯彻落实基本药物制度,充分发挥政策效应,同时加强对老年和慢性病患者处方的监管力度。
[Abstract]:Objective to understand the outpatient prescription cost of rural health service institutions in Shandong province under the background of essential drugs system. Methods from August 2012 to January 2013, 37 township hospitals and 81 village clinics were selected from Shandong province by multi-stage stratified sampling. Taking into account institutional outpatient prescriptions for 2009 (before the implementation of the essential drugs system) and 2012 (after the implementation of the essential drugs system) as general information, To analyze the change of outpatient prescription cost of township health center and village health center before and after the implementation of essential drug system, and the change of prescription cost of patients with different conditions. Results there were 1 293 outpatient prescriptions in township hospitals and 1 230 prescriptions in village clinics before the implementation of the essential drug system, and 1 569 outpatient prescriptions in township hospitals and 1 861 prescriptions in village clinics after the implementation of the essential drug system. After the implementation of the essential drugs system, the median outpatient prescription cost of township health centers? "Big prescription" (5 kinds of drugs)? Antibiotic prescriptions? Hormone prescription fee, non-hormone prescription fee, injection prescription fee? The prescription cost of non-Chinese patent medicine was lower than that before implementation, the difference was statistically significant (P0.05); while the proportion of "expensive prescription" (100.0 yuan), non-" big prescription "fee, non-antibiotic prescription fee, non-injection prescription cost? There was no significant difference between the prescription cost of Chinese patent medicine and that before implementation (P0.05). After the implementation of the essential drugs system, the proportion of "expensive prescriptions" in village clinics, the median outpatient prescription cost, "big prescription" cost? No "big prescription" fee, antibiotic prescription fee, non-antibiotic prescription fee? Hormone prescription fee, non-hormone prescription fee, injection prescription fee? Non-Injection prescription fee? The prescription cost of Chinese patent medicine and non-Chinese patent medicine were lower than that before implementation, the difference was statistically significant (P0.05). After the implementation of the essential drug system, male, female, 鈮，
本文编号：2388696
[Abstract]:Objective to understand the outpatient prescription cost of rural health service institutions in Shandong province under the background of essential drugs system. Methods from August 2012 to January 2013, 37 township hospitals and 81 village clinics were selected from Shandong province by multi-stage stratified sampling. Taking into account institutional outpatient prescriptions for 2009 (before the implementation of the essential drugs system) and 2012 (after the implementation of the essential drugs system) as general information, To analyze the change of outpatient prescription cost of township health center and village health center before and after the implementation of essential drug system, and the change of prescription cost of patients with different conditions. Results there were 1 293 outpatient prescriptions in township hospitals and 1 230 prescriptions in village clinics before the implementation of the essential drug system, and 1 569 outpatient prescriptions in township hospitals and 1 861 prescriptions in village clinics after the implementation of the essential drug system. After the implementation of the essential drugs system, the median outpatient prescription cost of township health centers? "Big prescription" (5 kinds of drugs)? Antibiotic prescriptions? Hormone prescription fee, non-hormone prescription fee, injection prescription fee? The prescription cost of non-Chinese patent medicine was lower than that before implementation, the difference was statistically significant (P0.05); while the proportion of "expensive prescription" (100.0 yuan), non-" big prescription "fee, non-antibiotic prescription fee, non-injection prescription cost? There was no significant difference between the prescription cost of Chinese patent medicine and that before implementation (P0.05). After the implementation of the essential drugs system, the proportion of "expensive prescriptions" in village clinics, the median outpatient prescription cost, "big prescription" cost? No "big prescription" fee, antibiotic prescription fee, non-antibiotic prescription fee? Hormone prescription fee, non-hormone prescription fee, injection prescription fee? Non-Injection prescription fee? The prescription cost of Chinese patent medicine and non-Chinese patent medicine were lower than that before implementation, the difference was statistically significant (P0.05). After the implementation of the essential drug system, male, female, 鈮，
本文编号：2388696
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