基本药物制度对宁夏基层医疗卫生机构门诊处方合理用药的影响.pdfVIP

基本药物制度对宁夏基层医疗卫生机构 门诊处方合理用药的影响 郑思茜①，宋燕①，殷实①，卞鹰@ 摘要 目的 通过对宁夏乡镇卫生院的处方抽样，分析国家基本药物制度实施前后乡镇卫生院门诊合理用药的变化情况。 方法结合世界卫生组织推荐的合理用药指标，对医改前后宁夏地区医疗机构门诊患者用药情况进行回顾性调查和研究。结 疗卫生机构合理用药有促进作用，但抗生素、注射剂的使用情况仍待改善。政府应加强对抗生素和注射剂的监管力度，以提 高其合理用药程度。 关键词基本药物制度；合理用药；基层医疗卫生机构；处方分析 doi：10．3969／j．issn．1001—568X．2014．08．0801 [中图分类号】R195【文献标识码】A[文章编号】1001—568X(2014)08—0001—03 of on in Health NationalEssentialMedicine RationalUse CareInstitutionof ImpactAnalysis System Drug Primary Ningxia HuiAutonomous alJIChineseHealth shi，et Region／ZHENGSi--qian，SONGyan，YIN Primary Abstract of health rationaluseof HealthCareInsti— OBJECTIVE Throughsampleprescriptiontownshipcenter，studydrug primary tutionbeforeand selected afteressentialmedicine The indictorsrecommendedWHO／INRUDwere system(EMS)．METHODS by ap— toevaluatetherationaluseof in HuiAutonomousbeforeandafterEssentialMedicine plied drug prescriptionNingxia Region System． RESULTSThe numberof was3．23．3．12and3．15inthree antibiot— average drugsper prescription years．Theprescriptionsincluding icswere and601 are and hormonesof 549，736 293，341 respectively．Theprescriptionsincludinginjection 248．Using prescription are and21 TheEssentialMedicinecould 17，28 respectively．CONCLUSION System theroleof therationaluseof play