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目的:了解南通市社区卫生服务机构基本药物使用情况。方法:采用分层整群抽样方法抽取南通市6个社区卫生服务机构2009—2011年间7 667张处方,用负二项回归和多分类Logistic回归进行药物使用数量和使用率的多因素分析。结果:2009—2010年基本药物的使用率逐年上升,其中省级基本药物的使用率增长高于国家基本药物使用率。结论:政府应进一步完善国家基本药物目录,加强对医生基本药物相关政策的宣教和培训,提高基本药物的可获得性。
Objective: To understand the use of essential drugs in community health service agencies in Nantong City. Methods: A stratified cluster sampling method was used to extract 7 667 prescriptions from 6 community health service agencies in Nantong City during 2009-2011. Multivariate analysis was conducted on the number and utilization of drug use by negative binomial regression and multiple classification Logistic regression. Results: From 2009 to 2010, the utilization rate of essential drugs increased year by year, among which the provincial basic drug utilization rate increased faster than the national basic drug utilization rate. Conclusion: The government should further improve the national essential drug list, strengthen its missionary education and training on policies related to doctors’ essential medicines, and improve the availability of essential medicines.