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目的:分析上海地区2007～2009年105家医院“医保”甲类药物的应用状况。方法:对上海地区105家医院“医保”甲类的用药品种、用药金额等信息按年度进行统计、分析。结果:3年中,样本医院实际使用品种数平均为255种,占“医保”目录的83.06%,用药金额占全部用药金额的平均百分比为8.93%,并且呈逐年下降趋势。“医保”甲类药物各大类用药金额排序保持相对稳定,其中调节水电解质平衡药、利尿药和神经系统的用药金额的构成比较高。用药金额排序前4位的是氯化钠、葡萄糖、环孢素注射液和脂肪乳剂。结论:上海地区105家医院“医保”甲类药物实际使用的品种数偏低,用药金额占药品总金额的百分比较低,且逐年下降,剂型的使用较为合理,建议“医保”甲类目录中应适当调整并增加品种。
Objective: To analyze the application status of “Medicare” A-class drugs in 105 hospitals in Shanghai from 2007 to 2009. Methods: Statistics and analysis were carried out according to the annual statistics on the types of drugs used and the amount of drugs used in the “Medicare” of 105 hospitals in Shanghai area. Results: In the three years, the average number of varieties actually used in the sample hospitals was 255, accounting for 83.06% of the “Medicare” directory, and the average percentage of medication used in all the medications was 8.93%, showing a declining trend year by year. “Medicare ” A large amount of drugs in all categories to maintain a relatively stable amount of medication, including the regulation of water and electrolyte balance drugs, diuretics and nervous system, the amount of the composition of the drug is relatively high. Top 4 drugs in the amount of sodium chloride, glucose, cyclosporine injection and fat emulsion. CONCLUSIONS: The actual number of “Medicare” A-type drugs used in 105 hospitals in Shanghai is relatively low. The percentage of medications used in the total amount of medicines is low and declines year by year. The use of dosage forms is more reasonable. It is suggested that “Medicare” Category A catalog should be adjusted and increase the variety.