我院2013年门诊基本药物使用情况调查分析

发布时间：2019-06-21 12:06

【摘要】：目的:了解我院门诊基本药物使用状况,促进基本药物在我院的合理使用。方法:比较我院(眼耳鼻喉专科医院)2013年门诊各科及全院上、下半年基本药物处方品种占比和费用占比;对眼科、耳鼻喉科两个主要科室处方品种占比居前列的药品进行排序,并对4个季度的排序进行比较。结果:随着2012年版《国家基本药物目录》的施行,2013年下半年全院门诊基本药物处方品种占比和费用占比较上半年均显著上升(P0.01)。眼科2013下半年基本药物处方品种占比和费用占比较上半年均有显著上升(P0.01),处方品种占比前20位中收载入2012年版《国家基本药物目录》的有2种,收载入2010版上海市增补目录的有3种。耳鼻喉科2013下半年基本药物处方品种占比较上半年显著下降(P0.01),费用占比显著上升(P0.01),处方品种占比前20位中收载入2012年版《国家基本药物目录》的有2种,收载入2010版上海市增补目录的有3种。结论:我院基本药物的处方品种占比和费用占比呈上升趋势,但非基本药物仍占主导地位,基本药物的使用率有待提高。基本药物目录收载的眼耳鼻喉科等专科药品品种不足、剂型单一,未来基本药物目录的调整还需要更多考虑专科医院的用药特点。
[Abstract]:Objective: to understand the use of essential drugs in outpatient department of our hospital and promote the rational use of essential drugs in our hospital. Methods: the proportion of basic drug prescriptions and the proportion of expenses in each outpatient department and the whole hospital in 2013 were compared, and the drugs in the two main departments of ophthalmology and otolaryngology were sorted, and the ranking of prescription varieties in four quarters was compared. Results: with the implementation of the 2012 edition of the National essential Drug catalogue, the proportion and cost of prescription varieties of essential drugs in the outpatient department increased significantly in the second half of 2013 (P 0.01). In the second half of 2013, the proportion and cost of essential drug prescriptions increased significantly in the first half of the year (P01). Among the top 20 prescription varieties, 2 were included in the 2012 edition of the National essential drugs catalogue, and 3 were included in the 2010 edition of Shanghai Supplementary catalogue. In the second half of 2013, the proportion of essential drug prescriptions in otolaryngology decreased significantly (P01), and the proportion of expenses increased significantly (P01). Among the top 20 prescription varieties, 2 were included in the 2012 edition of the National essential drugs catalogue, and 3 were included in the 2010 edition of Shanghai Supplementary catalogue. Conclusion: the proportion of prescription varieties and expenses of essential drugs in our hospital is on the rise, but the proportion of non-essential drugs is still dominant, and the utilization rate of essential drugs needs to be improved. The varieties of specialized drugs such as Otolaryngology and so on contained in the catalogue of basic drugs are insufficient and the dosage form is single. The adjustment of the catalogue of essential drugs in the future also needs to consider more the characteristics of drug use in specialized hospitals.
【作者单位】：复旦大学附属眼耳鼻喉科医院;
【分类号】：R95

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