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目的评价辖区内社康中心基本药物制度实施情况及医生的处方行为,为制定社康中心运行、管理政策提供依据。方法采用横断面调查法。以调查表的方式收集全面实施基本药物制度前、后辖区内社康中心基本药物配备、使用信息并对医生处方行为、合理用药情况进行分析。结果共有5家区属医院的10个社康中心接受了调查评估。全面实施基本药物制度后,区属医院举办的10家社康中心基本药物配备率为100%;基本药物让利金额增加156.4%;诊疗人次增加37.1%,每张处方平均金额下降14.5%～25.4%;平均每张处方用药品种数小于5种,合理用药处方比例有所增加。各社康上述指标存在明显差异。结论实施基本药物制度可切实减轻患者就医负担,行政措施的干预是确保基本药物制度及相关配套政策得以顺利实施的前提,对社区医生的处方行为进行规范和引导是提高基本药物使用率的关键。
Objective To evaluate the implementation of the basic drug system in the community health center and the prescription of doctors in the area and provide the basis for formulating the operation and management policies of the community health center. Methods using cross-sectional survey method. In the form of a questionnaire, we collected information on the allocation and use of essential drugs in the community health centers in the area before and after the full implementation of the basic drug system and analyzed the doctor’s prescription behavior and the rational use of drugs. Results A total of 10 community health centers in 5 district hospitals were surveyed and assessed. After the full implementation of the basic drug system, the rate of basic medicine provision was 100% for 10 community-based health centers held in the district-owned hospitals; the allowance for essential drugs increased by 156.4%; the number of visits increased by 37.1% and the average amount per prescription decreased by 14.5% -25.4% ; The average number of drugs per prescription is less than 5, the proportion of rational prescriptions has increased. The above indicators of social well-being vary significantly. Conclusion The implementation of the basic drug system can effectively reduce the medical burden on patients. The intervention of administrative measures is the prerequisite to ensure the implementation of the basic drug system and related supporting policies. The standardization and guidance of the prescription behavior of community doctors is the key to improve the utilization rate of basic medicines.