论文部分内容阅读
目的:评价浙江省基本药物制度对门诊处方用药数量的影响。方法:选择实施基本药物制度的杭州市下城区社区卫生服务中心、义乌市义亭镇中心卫生院作为政策干预组,没有实施的东阳市六石镇卫生院作为对照组,形成非随机对照前后测量的类实验设计。利用电子信息系统导出基本药物制度开展一年前及开展后的门诊电子数据,采取双差法(double differences)的评估设计和数据分析。结果:通过负二项回归,控制了年龄、性别的影响和两组基线差异后,结果表明基本药物制度试点改革使门诊平均处方用药数下降11.2%(P=0.000)。结论:基本药物制度的实施对促进合理用药,降低平均处方用药数有积极作用。
Objective: To evaluate the influence of basic medicine system in Zhejiang Province on the quantity of outpatient prescription drugs. Methods: Community Health Service Center of Xiacheng District of Hangzhou City and Yi Ting Town Center Hospital of Yiwu City were chosen as the policy intervention group. Sixth Hospital of Dongyang City, which was not implemented, was selected as the control group to form a non-randomized control measure Class experimental design. Exporting basic pharmacy system using electronic information system To carry out outpatient electronic data one year ago and later, evaluate design and data analysis by double differences. Results: After controlling for the influence of age and gender and baseline differences between the two groups, the results showed that the pilot reform of the essential drug system decreased the average number of outpatient prescriptions by 11.2% (P = 0.000). Conclusion: The implementation of the basic drug system has a positive effect on promoting rational drug use and reducing the average number of prescription drugs.