Yin Shi, Song Yan, Bian Ying
1 State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao SAR, China.
Ther Innov Regul Sci. 2014 Nov;48(6):689-695. doi: 10.1177/2168479014527748.
This study investigated outpatient prescription medicines use in primary health care institutions to evaluate the impact of the essential medicines policy on rational medicines use. Data were collected from primary health care institutions in 4 province-level areas of different socioeconomic status in China. Around the policy implementation, the numbers of various medicines used per prescription were compared by t test and 1-way analysis of variance, and the proportions of prescriptions with antibiotics, injections, or hormones were compared by chi-square test. After the policy implementation, the numbers of all medicines and antibiotics used per prescription dropped, and the number of essential medicines used per prescription increased in all 4 areas. The percentage of prescriptions with injections declined in all 4 areas, but the percentages of prescriptions with antibiotics or hormones witnessed different status in different areas. To a certain degree, the essential medicines policy in China has taken effect on rational medicines use but needs development.
本研究调查了基层医疗卫生机构门诊处方药的使用情况，以评估基本药物政策对合理用药的影响。数据收集自中国4个不同社会经济地位省级地区的基层医疗卫生机构。在政策实施前后，通过t检验和单因素方差分析比较每张处方使用的各类药物数量，并通过卡方检验比较使用抗生素、注射剂或激素的处方比例。政策实施后，所有4个地区每张处方使用的所有药物和抗生素数量均下降，每张处方使用的基本药物数量增加。所有4个地区注射剂处方的百分比均下降，但使用抗生素或激素的处方百分比在不同地区呈现不同状况。中国的基本药物政策在一定程度上对合理用药起到了作用，但仍需完善。
