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目的:掌握和分析社区门诊部基本药物的使用情况,为促进国家基本药物制度的实施提供参考。方法:利用医院信息系统中的“药品综合查询”程序,采用金额排序法,对社区门诊2014年-2015年6月国家基本药物使用数据进行统计、分析。结果:2014年-2015年上半年药物品种数分别为112种、126种,其中国家基本药物分别为53种、62种(西药基药47种、55种,成药基药6种、7种),非基药分别为59种、64种(西药非基药40种、43种,成药非基药19种、21种);2014年、2015上半年基本药物占社区门诊药品总数的比例分别为47.32%、49.21%,社区门诊在用基本药物占国家基本药物品种数比率分别为10.20%、11.92%;2014年、2015上半年使用金额占社区全年用药总金额的比例分别为18.01%、33.81%。2014年,我院社区基本药物使用金额排序前三名的分别是,激素与调节内分泌功能用药,肠内肠外营养与调节水、电解质及酸碱平衡药,抗微生物药;2015年上半年,我院社区基本药物使用金额排序前三名的分别是激素与调节内分泌功能用药,抗微生物药,肠内肠外营养与调节水、电解质及酸碱平衡药。与2014年相比,2015年上半年国家基本药物采购品种有略有上升,使用金额比例大幅上升;2015上半年国家基本药物使用金额排名前三的药物与2014年相同,但在排序上2015年抗菌药物占据第二。结论:该社区国家基本药物的覆盖率基本达到要求,国家基本药物总体使用率偏低,特别是呼吸类、消化类国家基本药物使用较少,建议社区根据《国家基本药物目录(2012版)》要求增加一些国家基本药物品种,临床应首先考虑使用国家基本药物;需加大国家基本药物在医院的宣传和推广力度,进一步促进临床安全、有效、经济用药。
Objective: To master and analyze the use of essential medicines in community outpatient clinics and provide references for the implementation of the national essential medicines system. Methods: Using the “drug comprehensive inquiry” program in the hospital information system, the data of the national outpatient clinics from 2014 to June 2015 were statistically analyzed with the amount ranking method. Results: From 2014 to the first half of 2015, there were 112 species and 126 species of medicines, of which 53 were national essential medicines and 62 were kinds (47 kinds of western medicines, 55 kinds, 6 kinds of medicinal medicines, and 7 kinds of medicines) , 59 kinds of non-base drugs, 64 kinds (40 kinds of non-base drugs of Western medicine, 43 kinds, 19 kinds of non-drug-based drugs, 21 kinds); 2014, first half of 2015 accounted for the proportion of essential medicines in community outpatient drugs were 47.32% and 49.21% respectively. The proportion of essential medicines in the outpatient community taking up 10-20% and 11.92% of the national essential medicines was respectively 18.01% and 33.81% respectively in the first half of 2015 and the total amount of medication in the community in the whole year. %. In 2014, the ranking of the top three basic drugs in our community were: hormone and endocrine function, parenteral nutrition and regulation of water, electrolytes and acid-base balance drugs and anti-microbial drugs. In the first half of 2015, Our hospital community basic drugs use the amount of the top three are hormones and regulation of endocrine function drugs, anti-microbial drugs, parenteral nutrition and regulation of water, electrolytes and acid-base balance of drugs. Compared with 2014, the procurement of national essential medicines increased slightly in the first half of 2015, with a substantial increase in the proportion of used medicines. In the first half of 2015, the top three medicines of national essential medicines were the same as in 2014, but in the ranking of 2015 Antibiotics occupy the second place. Conclusion: The coverage rate of national essential drugs in this community basically meets the requirements, and the overall utilization rate of national essential medicines is relatively low. In particular, the use of essential medicines in respiratory and digestive countries is relatively low. It is suggested that according to the “National Essential Drug List (2012 Version)”, Demands for increasing the number of essential medicines in some countries should first be considered for the use of national essential medicines in clinical practice. Publicity and promotion of national essential medicines in hospitals should be stepped up to further promote clinical safety, effectiveness and economic medicine.