| 摘要: |
目的 通过试点医院实施医药分开改革前后合理用药处方指标的对比，评价医药分开改革对医院门诊用药的影响。方法 通过抽取试点医院改革前后的门诊处方信息，采用WHO/INRUD处方指标和ATC/DDD方法，对试点医院改革前后的处方用药指标进行对比，分析医药分开改革对处方合理用药的影响。结果 实施医药分开改革后合理用药指标均有一定程度的改善，单次就诊平均药品数由3.32种降至3.19种，单次就诊平均药费由461.35元降至340.06元，抗菌药物使用率由14.78%降至12.45%，注射剂使用率由4.67%降低至2.83%，以上指标经统计学检均P＜0.05，抗菌药物的用药频度值和限定日费用值在改革实施后整体上均有所下降。结论 实施医药分开改革在减轻患者医疗费用负担、促进医院合理用药方面起到了积极作用。 |
| 关键词: 医药分开 合理用药 处方 |
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| Investigation of the Impact of Drug and Medical Service Separation Policy on Using of Prescribing Drug |
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| Abstract: |
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Objective
To investigate and compare the indicators of drug use before and after the reform of drug and medical service separation in pilot hospital to evaluate the impact of reform on rational drug use of outpatients. Methods The WHO/INRUD prescription indicators and the ATC/DDD method were applied to analyze the prescriptions of outpatients before and after the reform. Results After the reform of medical service separation，all the indicators of drug use were improved . The average number of drugs per encounter decreased from 3.32 to 3.19，the average prescription cost decreased from 461.35 to 340.06, the percentage of encounters with an antibiotic decreased from 14.78% to 12.45%, and the percentage of encounters with an injection prescribed decreased from 4.67% to 2.83%, statistical test P<0.05，DDDs and DDDc of antibiotics has decreased as a whole after the reform. Conclusion The reform of medical service separation has reduced the patient burden of medical expense and promoted rational drug use. |
| Key words: drug and medical service separation,rational drug use,prescription |
