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本文通过对厦门市38家基层医疗卫生机构实施基本药物制度前后药品使用人数和费用情况的对比分析,发现:基层医疗机构在基本药物政策实施前使用的药品类别基本为基本药物目录所覆盖;基本药物实施前使用人数排名前100位的药品中99种在基本药物目录内或可由目录药品替代;实施前使用人数和发生费用排名前列的药物品种(常见病、多发病、慢性病用药等),在基本药物政策实施后变化不大。结论:基本药物目录基本能够满足基层医疗机构的用药需求。
Through the comparative analysis of the number and cost of drug users before and after the implementation of the basic drug system in 38 primary health care institutions in Xiamen City, this paper finds that: the categories of drugs used by primary medical institutions before the implementation of the basic drug policy are basically covered by the essential drug list; Ninety-nine of the top 100 drugs used prior to drug administration are listed in the Essential Drugs Catalog or may be replaced by the Catalog of Medicines; the number of drugs used prior to the implementation (see Common, Diseased, Chronic Diseases, etc.) Little change has taken place after the implementation of the basic medicine policy. Conclusion: The Essential Drug List basically meets the medication needs of primary medical institutions.