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本文通过对广西东兰县武篆镇三个合作医疗试点村1996年3月448张处方作个案调查,分析了村医的诊治、用药及收费。结果显示:村医极少转诊;其所诊断的疾病以感冒最多见;平均每张处方用药数为2.3;最常用药物为地塞米松,处方中激素使用率高达29.0%,以往对此报道较少;75.6%的处方含有注射用药;平均每张处方医疗费用为5.05元,其中药费占69.6%;合作医疗制度在一定程度上对村医的处方行为产生了影响,作者据此提出一些政策性建议,为促进村医合理诊治、合理用药及合理收费提供参考。
Based on a case study of 448 prescriptions in March 1996 in three cooperative medical pilot villages in Wuzhuan Town, Donglan County, Guangxi, this paper analyzes the diagnosis and treatment, medication and charges of village doctors. The results showed that village doctors rarely referred; the diagnosis of the disease was the most common cold; the average number of prescriptions per prescription was 2.3; the most commonly used drugs for dexamethasone, prescription hormone use rate as high as 29.0% 75.6% of prescriptions contained injections; the average medical cost per prescription was 5.05 yuan, accounting for 69.6% of them; the cooperative medical system to a certain extent, the prescription of village doctors Behavior had an impact, the author put forward some policy recommendations accordingly, in order to promote the reasonable diagnosis and treatment of village doctors, rational use of drugs and reasonable charges provide a reference.