天津市不同等级医疗机构住院患者基本药物使用分析

杜芬; 吴晶

引用本文：杜芬,吴晶.天津市不同等级医疗机构住院患者基本药物使用分析[J].中国卫生政策研究,2012,5(4):40-44

天津市不同等级医疗机构住院患者基本药物使用分析

投稿时间：2012-02-29 修订日期：2012-04-01 PDF全文浏览 HTML全文浏览

天津大学药物科学与技术学院

摘要:目的：了解天津市基本药物的使用状况，为完善基本药物政策提供参考。方法：回顾性分析2003—2010年天津市各级医疗机构城镇职工基本医疗保险住院患者国家基本药物及增补药品的使用品种及费用。结果：2003—2010年，天津市基本药物的年度使用总品种数呈“N”型分布，基本药物费用占总药费比平均为26.36%；各级医疗机构中基本药物费用占该级医疗机构总药费比在国家基本药物制度实施后均增加，且一级最高。使用的国家基本药物及增补品种占遴选品种比均值分别为74.92%、70.87%，且在政策实施后明显增加；费用占总药费比均值分别为14.21%、12.14%。结论：天津市基本药物的整体使用率较低，且与医疗机构的等级相关，但政策实施后略有好转。国家基本药物的可获得性在政策实施后相对提高，而增补品种的使用费用增速显著，但仍需综合其他证据对增补品种的调整提供全面的证据。

关键词:基本药物增补药品医疗机构

Study on use of essential medicines among inpatients of different clarifications of medical institutions in Tianjin

Abstract:Objective: To analyze the use of Essential Medicines in Tianjin, with the purpose of providing data reference for National Essential Medicines System（NEMS）. Methods: A retrospective analysis for the National Essential Medicine (NEMs) and Supplemental Medicine (SMs) used by inpatients of urban employee basic medical insurance from 2003 to 2010 was conducted. Comparing the categories and cost of NEMs and SMs used in different medical institutions (MIs). Results: The number of Essential Medicines in Tianjin showed a distribution as “N”, with the cost out of the total medicines cost averaged at 26.36%; and this cost proportion increased after NEMS, and in primary MIs it was the most. The number of categories of NEMs out of National Essential Medicines List averaged at 74.92%, and the cost out of total medicines cost averaged at 14.21%, while the SMs averaged at 70.87% and 12.14% respectively. Both the categories of NEMs and SMs increased after the NEMS. Conclusion: The rate of Essential Medicines in Tianjin used being related to the clarification of MIs was low in general, and it improved after NEMS. The availability for NEMs improved, while SMs’ cost proportion increased more quickly than NEMs’, evidence of adjustment for SMs need to be a further research when considering other comprehensive measures.

Key words:Essential medicine Supplement medicine Medical institutions

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