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| 上海市基本药物制度对某社区卫生服务中心和二级医院门诊中成药使用影响研究 |
| Effects of the Implementation of Shanghai Essential Drug Policy on Chinese Patent Medicine Utilization of Out patients in a Community Health Service Center and a Second Class Hospital |
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| DOI： |
| 中文关键词: 基本药物 社区卫生服务中心 二级医院 中成药 药物利用 |
| 英文关键词:Essential drug Community health service center Second class hospital Chinese patent medicine Drug utilization |
| 基金项目:上海市药学会科研基金项目（编号：2013-YY-02-010）；上海市徐汇区医学科研基金项目（编号：SHXH201107） |
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| 中文摘要: |
| 摘 要 目的：探讨上海基本药物制度实施前后上海市徐汇区某社区卫生服务中心和二级医院门诊中成药使用情况和变化趋势。方法：采集2009年9月2日~2014年11月25日长桥街道社区卫生服务中心和上海市徐汇区中心医院门诊处方中成药用药数据，对基本药物制度实施前、实施中与目录外药品增补后各阶段的用药品种、处方张数、用药金额、用药频度（DDDs）进行统计分析。结果：社区卫生服务中心基本药物占据中成药使用的主导，用药金额、处方张数和DDDs明显增长，而二级医院基本药物使用呈现下降趋势，非基本药物使用增多；骨伤科和皮肤科的基本药物DDDs在二级医院中降幅较大，而在社区卫生服务中心增幅较大；基本药物活血通脉胶囊/片和心可舒胶囊/片DDDs在社区卫生服务中心增幅最大，非基本药物百令胶囊和迈之灵片DDDs在二级医院增幅最大。结论：上海市基本药物目录覆盖了基层用药的常用中成药品种，应按需增补非基本药物，同时鼓励二级及以上医疗机构优先合理使用基本药物，以切实满足患者的用药需求，优化医疗资源配置。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the situation and trend of Chinese patent medicine utilization in outpatients of a community health service center and a second class hospital in Shanghai Xuhui district before and after the implementation of Shanghai essential drug policy. Methods:Outpatients’ information of Chinese patent medicine utilization in Changqiao street community health service center and Shanghai Xuhui district central hospital during the period September 2, 2009 to November 25, 2014 was collected. The drug variety, the number of prescriptions, the consumption sum and the drug use density (DDDs) were statistically analyzed before the implementation of essential drug policy, during the implementation of essential drug policy, and after the supplement of non essential drugs. Results: Essential drugs occupied the main position of Chinese patent medicine utilization in the community health service center, with the growth rate in respects of consumption sum, number of prescriptions and DDDs going up. The utilization of essential drugs in the second class hospital showed a downward trend, while the utilization of non essential drugs was increasing. The DDDs of orthopedic and dermatology essential drugs showed the largest decline in the second class hospital, what in the community health service center presented the largest increase. The DDDs of the essential drugs Huoxue Tongmai capsule/tablet and Xinkeshu capsule/tablet increased largestly in the community health service center, while the DDDs of the non essential drugs Bailing capsule and Aescuven Forte increased largestly in the second class hospital.Conclusion:Shanghai essential drug catalog covers the common Chinese patent drugs in the community health service center. The non essential drugs should be supplied when necessary, and the priority and rational use of essential drugs in the second and third class hospitals should be encouraged in order to truly meet the needs of patients and optimize the allocation of medical resources. |
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