Analysis on the structure and coherence of drug use in public medical institutions in Qingdao
SHI Wenjie1,2 SONG Yan1,2 ZHEN Tianmin1,2
1.School of Medical Security, Shandong First Medical University & Shandong Academy of Medical Sciences, Shandong Province, Ji’nan 250117, China;
2.Shandong Institute of Medicine and Health Information, Shandong Province, Ji’nan 250062, China
Abstract：Objective Take Qingdao as an example to discuss the drug use structure of public medical institutions and the connection of drug use in lower-level medical institutions, and to provide reference for the promotion of graded diagnosis and treatment. Methods The stratified sampling method was used to select 13 public medical institutions in Qingdao, and the anatomical-treatment-chemical system (ATC) drug classification method was used to analyze the types and structures of drugs used by medical institutions at all levels from January 1 to December 31, 2017. Results The number of medicines in tertiary medical institutions was 1.73 times that of primary medical institutions and 1.59 times that of secondary medical institutions. There was a big difference in the commonality of medicines between primary and secondary and tertiary medical institutions, with the same medicine rates being 42.55% and 33.34% respectively. The allocation rates of essential medicines in first, second and third-level medical institutions were 60.88%, 31.83%, and 19.30% respectively. Conclusion The types of medicines in the first-level medical institutions are narrow, and the level of medication is low. There are obstacles to the connection with the second and third-level medical institutions. It is difficult to meet the medication needs under the hierarchical diagnosis and treatment model. The provision rate of basic drugs needs to be improved.
石文杰1，2 宋燕1，2 甄天民1，2. 青岛市公立医疗机构用药结构及用药衔接分析[J]. 中国医药导报, 2020, 17(36): 61-64.
SHI Wenjie1,2 SONG Yan1,2 ZHEN Tianmin1,2. Analysis on the structure and coherence of drug use in public medical institutions in Qingdao. 中国医药导报, 2020, 17(36): 61-64.
2020, Vol. 17 
京公网安备 11010502046598号