An Investigation of Common Diseases and Rational Drug Use in Rural Hospitals and Community Health Service Centers in Chengdu_Chinese Journal of Evidence-Based Medicine

Authors：

ZHOU Bangmin ¹ , WANG Li ¹ , YU Jiajie ¹ , YUAN Zhifang ¹ , PENG Jing ² , TAN Peiyong ² ,  LI Youping ¹ , YANG Wei ³ , SHEN Chuanyong ³ , YANG Xiaoguang ³ , WEN Rongli ³ , YANG Jifang ³ , ZHOU Yaguang ³ , LI Fusen ³ , LIU Yonghua ³

1. Chinese Evidence-based Medicine/ Cochrane Centre, West China University, Sichuan University, Chengdu 610041, China;2. Public Health Bureau of Chengdu, Chengdu 610012, China;3. West China Medical School, Sichuan University, Chengdu 610041, China;

Corresponding author：

LI Youping, Email: yzmylab@hotmail.com

Keywords：

Rural hospital; Community health service center; Rational use of drug; Antibiotics; Survey

DOI：

10.7507/1672-2531.20090007

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective 　To investigate the spectrum of diseases and the current situation of antibiotic use in rural hospitals and community health service centers in Chengdu, so as to provide evidence for selecting essential medicines and promoting rational use of antibiotics.
Method 　We selected 7 township/community health institutions, from which we collected inpatient and outpatient information. Information about antibiotic use was also collected, including categories, cost, and dosage. A standard questionnaire was used to investigate physicians’ prescription behavior for principal diseases.
Result 　Urban and rural areas had different spectrums of diseases. The major diseases in urban areas included diabetes mellitus, hypertension, chronic obstructive pulmonary disease, and respiratory tract infection; while those in rural areas were infectious diseases of the respiratory system, digestive system, and urinary system. The physicians’ prescription behavior was mainly based on their personal experience. Antibiotics accounted for 30-50% of the total medicine cost. The top four types of antibiotics with the highest cost were cephalosporins, penicillin, quinolones, and macrolides.
Conclusion 　 Based on the different spectrums of diseases, essential drug lists and standard treatment guidelines appropriate for rural health care should be developed to improve the rational use of drugs. Factors such as the average cost of daily dose and the course of treatment should be taken into consideration to reduce the overall cost of medicine. An antimicrobial resistance monitoring system and special training courses on rational use of antibiotics should be utilized in the rural health institutions.

Citation： ZHOU Bangmin,WANG Li,YU Jiajie,YUAN Zhifang,PENG Jing,TAN Peiyong,LI Youping,YANG Wei,SHEN Chuanyong,YANG Xiaoguang,WEN Rongli,YANG Jifang,ZHOU Yaguang,LI Fusen,LIU Yonghua. An Investigation of Common Diseases and Rational Drug Use in Rural Hospitals and Community Health Service Centers in Chengdu. Chinese Journal of Evidence-Based Medicine, 2009, 09(1): 19-25. doi: 10.7507/1672-2531.20090007 Copy

1.	周帮旻, 王莉, 李幼平, 等. 成都市三圈7个乡镇和社区卫生服务机构药品使用现况调查——三圈七院六站预调查报告之三. 中国循证医学杂志, 2008, 8(7): 529-537.
2.	喻佳洁, 李幼平, 王莉, 等. 成都市乡镇和社区卫生服务机构基本医疗卫生服务状况调查——三圈七院六站预调查报告之一. 中国循证医学杂志, 2008, 8(4): 226-232.
3.	四川大学华西循证医学中心. 成都市基本药物目录及乡镇、社区医疗机构卫生人力资源预调查报告, 2007.
4.	中华医学会消化病学分会. 幽门螺杆菌共识意见（2003安徽桐城）. 中华消化杂志, 2004, 20(2): 126-127.
5.	中华医学会, 中华医院管理学会药事管理专业委员会, 中国药学会医院药学专业委员会. 抗菌药物临床应用指导原则. 抗菌药物临床应用指导原则. Avialable from: URL: http://www.moh.gov.cn/sofpro/cms/previewjspfile/mohyzs/cms_0000000000000000073_tpl.jsp?requestCode=18544&CategoryID=3573.
6.	中国高血压防治指南修订委员会. 中国高血压防治指南（2005年修订版）. Avialable from: URL: www.healthyheart-china.com/Appendix/Information/335909725046875/中国高血压指南（2005 年修订版）2006-3-6定稿.pdf.
7.	卫生部疾病控制司, 中华医学会糖尿病学分会. 中国糖尿病防治指南. Avialable from: URL: http://www.chinacdc.net.cn/n272442/n272530/n273736/n273796/n320624/n320634/5769.html.
8.	中华医学会呼吸病学分会慢性阻塞性肺疾病学组. 慢性阻塞性肺疾病诊治指南（2007年修订版）. 中华结核和呼吸杂志, 2007, 30(1): 8-17.
9.	关于发布“ 十一五” 国家科技支撑计划重点项目“ 不同类型乡镇卫生院科技综合示范及相应产品开发”课题申报指南的通知. Avialable from：http://www.most.gov.cn/tztg/200808/t20080820_63582.htmhttp://www.most.gov.cn/tztg/200808/t20080820_63582.htm.
10.	敬媛媛, 李幼平, 方锐, 等. 成都市乡镇/社区卫生服务机构人力资源配置现状调查 —— 三圈七院六站预调查报告之二. 中国循证医学杂志, 2008, 8(4): 226-232.

1. 周帮旻, 王莉, 李幼平, 等. 成都市三圈7个乡镇和社区卫生服务机构药品使用现况调查——三圈七院六站预调查报告之三. 中国循证医学杂志, 2008, 8(7): 529-537.
2. 喻佳洁, 李幼平, 王莉, 等. 成都市乡镇和社区卫生服务机构基本医疗卫生服务状况调查——三圈七院六站预调查报告之一. 中国循证医学杂志, 2008, 8(4): 226-232.
3. 四川大学华西循证医学中心. 成都市基本药物目录及乡镇、社区医疗机构卫生人力资源预调查报告, 2007.
4. 中华医学会消化病学分会. 幽门螺杆菌共识意见（2003安徽桐城）. 中华消化杂志, 2004, 20(2): 126-127.
5. 中华医学会, 中华医院管理学会药事管理专业委员会, 中国药学会医院药学专业委员会. 抗菌药物临床应用指导原则. 抗菌药物临床应用指导原则. Avialable from: URL: http://www.moh.gov.cn/sofpro/cms/previewjspfile/mohyzs/cms_0000000000000000073_tpl.jsp?requestCode=18544&CategoryID=3573.
6. 中国高血压防治指南修订委员会. 中国高血压防治指南（2005年修订版）. Avialable from: URL: www.healthyheart-china.com/Appendix/Information/335909725046875/中国高血压指南（2005 年修订版）2006-3-6定稿.pdf.
7. 卫生部疾病控制司, 中华医学会糖尿病学分会. 中国糖尿病防治指南. Avialable from: URL: http://www.chinacdc.net.cn/n272442/n272530/n273736/n273796/n320624/n320634/5769.html.
8. 中华医学会呼吸病学分会慢性阻塞性肺疾病学组. 慢性阻塞性肺疾病诊治指南（2007年修订版）. 中华结核和呼吸杂志, 2007, 30(1): 8-17.
9. 关于发布“ 十一五” 国家科技支撑计划重点项目“ 不同类型乡镇卫生院科技综合示范及相应产品开发”课题申报指南的通知. Avialable from：http://www.most.gov.cn/tztg/200808/t20080820_63582.htmhttp://www.most.gov.cn/tztg/200808/t20080820_63582.htm.
10. 敬媛媛, 李幼平, 方锐, 等. 成都市乡镇/社区卫生服务机构人力资源配置现状调查 —— 三圈七院六站预调查报告之二. 中国循证医学杂志, 2008, 8(4): 226-232.

Chinese Journal of Evidence-Based Medicine

An Investigation of Common Diseases and Rational Drug Use in Rural Hospitals and Community Health Service Centers in Chengdu

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content