摘要
目的了解全国七城市医院使用国家基本药物的处方状况。方法数据来自《医院处方分析合作项目》,在2013年全国七城市102家医院的数据中,每家医院随机抽取40 d门急诊处方和住院医嘱,包括患者基本信息、用药情况、诊断和用药金额等项目,依据2012版《国家基本药物》（化学药和生物制品）药品目录,用Fox Pro 8.0数据库软件进行统计分析。结果国家基本药物使用比例：三级医院为20.6%~24.5%,二级医院为24.7%~30.6%,一级医院为44%左右。国家基本药物使用率：三级医院为77%~90.2%,二级医院为50.2%~83.6%,一级医院为12.3%~43.8%。国家基本药物金额占总药费的比例：三级医院为12.1%~19.5%,二级医院为15.8%~27.7%,一级医院为38%~49.5%。国家基本药物占全部国家基本药物金额前6类药品分别是激素及影响内分泌药、血液系统用药、心血管系统用药、抗微生物用药、抗肿瘤药、调节水电解质及酸碱平衡药。结论中国七城市对新版《国家基本药物目录》落实程度不高,落实基本药物制度是一个逐步完善的过程,既需要国家政策的推动,也需要医疗机构的积极配合。
Objective To understand the status of national essential drugs prescription in hospital of seven cities. Methods Data was acquired from＂the cooperation projects of hospital prescription analysis＂about 102 hospitals in the seven cities of China in 2013. The prescription and hospital doctor＇s advice（ including patient basic information,diagnosis,medication and consumption） of 40 d was randomly selected in each hospital,according to the drugs directory of ＂the national essential drugs＂（ chemical medicines and biological products） 2012. Fox Pro 8. 0 database software was used in the statistical analysis. Results The proportion of national essential drug： Class-3 hospital was 20. 6% ~24. 5%,Class-2 hospital was 24. 7% ~ 30. 6%,Class-1 hospital was approximately 44%. The usage of national essential drug： Class-3 hospital was 77% ~ 90. 2%,Class-2 hospital was 50. 2% ~ 83. 6%,Class-1 hospital was 12. 3% ~43. 8%. The proportion of national essential drugs accounted for the total expenses for medicine： Class-3 hospital was12. 1% ~ 19. 5%,Class-2 hospital was 15. 8% ~ 27. 7%,Class-1 hospital was 38% ~ 49. 5%. Hormones and affecting endocrine drugs,blood systemdrugs,cardiovascular drugs,antimicrobial drugs,antitumor drug,regulating water electrolyte and acid-base balance drugs ranked the first six places in the National essential drugs. Conclusion The implement of the newnational basic drugs directory in seven cities was not enough. The implementation of basic drug systemwas a gradually improved process which need national policy and cooperation with medical institutions.
出处
《实用药物与临床》
CAS
2015年第12期1528-1530,共3页
Practical Pharmacy and Clinical Remedies
关键词
国家基本药物
医院
处方
分析
National essential drugs
Hospital
Prescription
Analysis
