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目的
了解在实施国家基本药物制度之后，基层医疗卫生机构在合理用药方面的变化情况。方法 采用定量分析与定性研究相结合的研究方法,选取黑龙江已开展基本药物制度工作的四个县市在实施基本药物制度前后的共1630张处方进行定量分析,并对关键人物进行定性访谈。结果 对比2008年与2013年实施基本药物制度前后，每处方用药种数由3.04种下降到1.57种，抗生素使用率由53.29%下降到38.62%，其他指标也均呈下降趋势，差异具有统计学意义。结论 基本药物制度对改善合理用药具有一定的促进作用，但抗生素与注射剂不合理使用现象仍然存在。 |
| 关键词: 国家基本药物制度 合理用药 处方 |
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| Influencing Analysis of the National Essential Medicines Policy on Rational Usage of Medicines in Primary Health Facilities |
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| Abstract: |
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Objective To understand the changes of rational use of medicines in primary health facilities after the implementation of national essential medicines policy. Method Using quantitative and qualitative investigation method. Totally 4 counties of Heilongjiang province were investigated. About 1630 prescriptions were collected and analyzed. Qualitative interviews were conducted with the key informants. Results After the implementation of EMP, the some key indicators for monitoring are declining. The average number of medicines per prescription decreases from 3.04 to 1.57. The percentage of prescriptions with antibiotic prescribed decreases from 53.29% to 38.62%. The differences are statistically significant. Conclusion EMP plays a certain role in promoting rational use of medicines. But the phenomenon of irrational use of antibiotics and injections still exists. |
| Key words: National Essential Medicines Program, rational use of medicines, prescription |
