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目的:了解上海地区二、三级医院2007～2008年用药情况和发展趋势,为药品生产、经营、使用等部门提供参考。方法:对上海地区12家二级医院和14家三级医院提供的用药数据,包括用药品种、处方量、用药金额等进行统计分析。结果:抗感染药、心血管药、消化系统药、中药材、血液和造血系统药均居二、三级医院用药金额前列。二级医院的均次费用增长较快,三级医院处方量增长较快;二、三级医院国产药均占一半以上的市场份额,且增长幅度较外资药大。二级医院用药金额排序前10位的药品以抗感染药居多,三级医院以免疫调节药居多。结论:不同等级医院在用药结构和具体品种上存在着部分差异,随着基本药物制度的深入,医院用药结构将发生变化,用药将更趋合理。
Objective: To understand the medication situation and development trend of second and third level hospitals in Shanghai from 2007 to 2008, and to provide references for the production, management and use of drugs. Methods: The data of medication provided by 12 second-class hospitals and 14 third-class hospitals in Shanghai were statistically analyzed, including drug varieties, prescriptions, medication amount and so on. Results: Anti-infectives, cardiovascular drugs, digestive drugs, Chinese herbal medicines, blood and hematopoietic drugs ranked first in the amount of medication in the second and third hospitals. The average cost of second-tier hospitals increased rapidly, and the prescriptions of tertiary hospitals grew rapidly. The second-and third-tier hospitals accounted for more than half of domestic drugs, with a growth rate larger than that of foreign-funded ones. The amount of drugs in the second-tier hospitals ranked the top 10 drugs to be mostly anti-infectives, and the third-class hospitals were mostly immunomodulatory drugs. Conclusion: There are some differences in the medication structure and specific varieties in different levels of hospitals. With the deepening of the basic drug system, the medication structure of the hospital will change and the medication will be more reasonable.