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目的:了解福州市鼓楼区社区卫生服务中心基本药物的使用现状。方法:采用监测表填写和处方抽样的方式进行调查。结果:8家社区卫生服务中心均不同程度地配备和使用基本药物,基本药物零售价格和人均医疗费用有所下降,但门诊量和各收入比例变化不大,基本药物配备及使用情况较差。结论:基本药物零差率销售对不同社区卫生服务中心的影响存在差异,应健全基本药物目录遴选及动态更新机制,加强合理用药培训,完善招标配送、多渠道补偿、监管考核等配套措施的制定与落实。
Objective: To understand the current situation of the use of essential medicines in community health service centers in Gulou District of Fuzhou. Methods: Surveys were conducted by means of monitoring forms filling and prescription sampling. Results: All 8 community health service centers equipped and used basic medicines to varying degrees. The retail price of basic medicines and the per capita medical expenses decreased. However, the outpatient amount and the proportion of each income did not change much, and the provision and use of essential medicines were poor. Conclusion: There are differences in the impact of zero-margin sales of essential drugs on different community health service centers. The selection of essential drugs list and the dynamic updating mechanism should be improved to enhance the training of rational drug use, improve the formulation of supporting measures such as bidding and distribution, multi-channel compensation and regulatory examination And implemented.