Objectives To investigate the utilization of essential medicines and antibiotics in primary healthcare system of Xinjin county of Chengdu city from 2009 to 2011.
Methods The data of utilization of all the medicines, essential medicines and antibiotics was collected from 17 hospitals of Xinjin primary healthcare system. Microsoft Excel 2003 was used to analyze the data.
Results Compared with 2009, the total costs of medicines and essential medicines increased by 72.27% and 135.4% respectively in 2010. After the implementation of essential medicine policy in 2010, the proportion of essential medicines accounted for more than 90% in community healthcare centers (CHCs) and township hospitals (THs) and over 50% in county-level hospitals in 2011. In 2010, the average cost per prescription among outpatients increased by 3.51% in total, but deceased by 16.23% in CHCs/THs (RMB 15.09 yuan per prescription). In July of 2011, the policy to control the use of antibiotics was implemented in Xinjin county. The use of antibiotics decreased, but still accounted for over 30% in 9 out of 13 CHCs/THs. The use of bigeminy antibiotics and trigeminy antibiotics accounted for 0.42 to 5.56% and 0 to 0.44%, respectively.
Conclusions The use of essential medicines increases in Xinjin county and met the national requirements. The average cost per prescription among outpatient decreases in THs and CHCs. After controlling the use of antibiotics, the proportion and cost of antibiotics is still very high, and irrational use of antibiotics probably still exists. The training and guide for evidence-based rational use of medicine should be enhanced in future.
Citation:
WANGLi, LIXiao, LIYou-ping, SHICheng-hu, YANGZong-xia, LICui-cui, SHENJian-tong, WANGYing-qiang. Performance Evaluation of Primary Healthcare System Reform in Xinjin County, Chengdu City: Ⅶ. Use of Essential Medicines in Primary Healthcare System from 2009 to 2011. Chinese Journal of Evidence-Based Medicine, 2014, 14(4): 380-384. doi: 10.7507/1672-2531.20140066
Copy
Copyright © the editorial department of Chinese Journal of Evidence-Based Medicine of West China Medical Publisher. All rights reserved
1. |
胡善联, 张崖冰, 叶露.国家基本药物制度研究.卫生经济研究, 2007, 10(1):3-5.
|
2. |
卫生部.关于建立国家基本药物制度的实施意见.2009.Avariable at:http://www.moh.gov.cn/publicfiles/business/htm~les/mohywzc/s3581/200908/42498.htm.
|
3. |
卫生部.国家基本药物目录:基层医疗卫生机构配备使用部分.中国法制出版社, 2009.
|
4. |
林朝晖.国家基本药物目录.首都医药, 2010(11):57.
|
5. |
王莉, 沈建通, 李幼平, 等.成都市新津县公益性基层医疗卫生服务体系改革绩效评估系列之一:新津县基层医疗卫生服务现况调查.中国循证医学杂志, 2014, 14(1):2-6.
|
6. |
WHO.Promoting Rational Use of Medicines:Core Components.WHO Policy Perspectives on Medicines.2002.
|
7. |
于磊, 唐尧, 徐珽, 等.2007-2008年成都地区17家医院药物利用分析.药事组织, 2009, 18(27):51-52.
|
8. |
于磊, 唐尧, 张蕊.2007-2009年成都地区17家医院药物应用分析.中国医院用药评价与分析, 2011, 11(1):10-11.
|
9. |
王莉, 李萃萃, 李幼平, 等.成都市新津县公益性医疗卫生服务体系改革绩效评估系列之五:新津县2009~2010年基层医疗服务绩效评估.中国循证医学杂志, 2014, 14(3):249-254.
|
10. |
四川省卫生厅.四川省医疗卫生机构配备使用基本药物管理办法(试行).2009.
|
11. |
王莉, 李筱, 李幼平, 等.成都市新津县公益性医疗卫生服务体系改革绩效评估系列之六:新津县2010年医疗卫生机构药品使用情况调查.中国循证医学杂志, 2014, 14(3):255-259.
|
- 1. 胡善联, 张崖冰, 叶露.国家基本药物制度研究.卫生经济研究, 2007, 10(1):3-5.
- 2. 卫生部.关于建立国家基本药物制度的实施意见.2009.Avariable at:http://www.moh.gov.cn/publicfiles/business/htm~les/mohywzc/s3581/200908/42498.htm.
- 3. 卫生部.国家基本药物目录:基层医疗卫生机构配备使用部分.中国法制出版社, 2009.
- 4. 林朝晖.国家基本药物目录.首都医药, 2010(11):57.
- 5. 王莉, 沈建通, 李幼平, 等.成都市新津县公益性基层医疗卫生服务体系改革绩效评估系列之一:新津县基层医疗卫生服务现况调查.中国循证医学杂志, 2014, 14(1):2-6.
- 6. WHO.Promoting Rational Use of Medicines:Core Components.WHO Policy Perspectives on Medicines.2002.
- 7. 于磊, 唐尧, 徐珽, 等.2007-2008年成都地区17家医院药物利用分析.药事组织, 2009, 18(27):51-52.
- 8. 于磊, 唐尧, 张蕊.2007-2009年成都地区17家医院药物应用分析.中国医院用药评价与分析, 2011, 11(1):10-11.
- 9. 王莉, 李萃萃, 李幼平, 等.成都市新津县公益性医疗卫生服务体系改革绩效评估系列之五:新津县2009~2010年基层医疗服务绩效评估.中国循证医学杂志, 2014, 14(3):249-254.
- 10. 四川省卫生厅.四川省医疗卫生机构配备使用基本药物管理办法(试行).2009.
- 11. 王莉, 李筱, 李幼平, 等.成都市新津县公益性医疗卫生服务体系改革绩效评估系列之六:新津县2010年医疗卫生机构药品使用情况调查.中国循证医学杂志, 2014, 14(3):255-259.