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目的:探讨浙江省基本药物制度的实施对社区卫生服务中心合理用药产生的影响。方法:随机抽取3个试点县区共9所社区卫生服务中心的1 080张处方进行分析,用统计学方法比较基本药物制度实施前后每张处方药品品种数量均数、均次处方金额,以及使用抗生素、激素、注射剂处方的比例等指标的差异。结果:基本药物制度实施前后每张处方药品品种数量均数和均次处方金额差异具有统计学意义;而使用抗生素、激素、注射剂处方比例基本药物制度实施前后差异无统计学意义。结论:基本药物制度对合理用药有促进作用,但作用有限,需要转变医患双方的用药观念和加强医务人员规范用药的培训。
Objective: To explore the impact of the implementation of the basic drug system in Zhejiang Province on the rational use of drugs in community health service centers. Methods: 1 080 prescriptions of 9 community health service centers in 3 pilot counties were randomly selected for analysis. Statistical methods were used to compare the mean number of prescriptions of each prescription drug before and after the implementation of the basic drug system, the prescribed prescription amount, Antibiotics, hormones, the proportion of injections and other indicators of the difference. Results: Before and after the implementation of the basic drug system, there was a statistically significant difference between the average number of prescriptions and the average prescribed prescriptions for each prescription drug. There was no significant difference between before and after the implementation of the basic drug system with antibiotics, hormones and injections. Conclusion: Essential drug system can promote the rational use of drugs, but its effect is limited. It is necessary to change the concept of medication between doctors and patients and to strengthen the training of medical staff on standard medication.