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目的探讨保健院基本药物制度的落实情况。方法收集湖北省宜都市妇幼保健院2009年1—8月基本药物制度实施前、2010年1-8月基本药物制度初步实施中及2014年1—8月基本药物制度实施后抗菌药物总处方数、给药方式、联合用药资料,并统计患者平均门诊费用、平均住院费用、医疗总收入、药物总收入。结果 2009、2010、2014年抗菌药物使用率差异无统计学意义(P>0.05);给药方式由静脉给药向口服给药转移,联合用药中单独用药比例持续上升;口服给药率及单独用药率均呈递增趋势;2009、2010、2014年患者的平均门诊费用、平均住院费用均呈递减趋势,医疗总收入及药物收入均呈递增趋势。结论加强基本药物制度落实可在保证医疗机构经济效益稳定发展的前提下,提高用药合理性。
Objective To investigate the implementation of basic medicine system in health care center. Methods Before the implementation of the basic medicine system in January-August 2009 in Yidu MCH for 2009 and the implementation of the basic medicine system in January-August 2010 and the implementation of the basic medicine system in January-August 2014, the total prescription of antimicrobial drugs , Mode of administration, combination medication information, and statistics of the average patient outpatient costs, the average cost of hospitalization, total medical income, total drug revenue. Results There was no significant difference in antimicrobial usage between 2009 and 2010 and 2014 (P> 0.05). The mode of administration changed from intravenous administration to oral administration. The proportion of single drug combination in combination therapy continued to rise. The average outpatient costs and average hospitalization expenses of patients in 2009, 2010 and 2014 all showed a declining trend, and the total medical income and drug income showed an increasing trend. Conclusion Strengthening the implementation of essential drug system can improve the rationality of medication under the premise of ensuring the stable development of the economic benefits of medical institutions.